Organization · Type 2 NPI
Msocs-Moose Lake
Intellectual Disabilities Intermediate Care Facility · Moose Lake, MN
NPI number
1205909991
Active
Practice location
305 4th St
Moose Lake, MN 55767
Mailing address
PO Box 64979
St. Paul, MN 55164-0979
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.
About NPI 1205909991
Msocs-Moose Lake's National Provider Identifier is 1205909991, issued on Nov 17, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Moose Lake, MN. The record was last updated on Jun 18, 2008.