Organization · Type 2 NPI
Lutheran Social Service of Minnesota
Intellectual Disabilities Intermediate Care Facility · Elk River, MN
NPI number
1114385085
Active
Practice location
11754 191 1/2 Ave NW
Elk River, MN 55330-1367
Mailing address
2485 Como Ave
St. Paul, MN 55108-1445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Elk River
About NPI 1114385085
Lutheran Social Service of Minnesota's National Provider Identifier is 1114385085, issued on Feb 5, 2016. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Elk River, MN. The record was last updated on Feb 24, 2017.