Organization · Type 2 NPI

Lutheran Social Service of Minnesota

Intellectual Disabilities Intermediate Care Facility · Elk River, MN

NPI number 1255797718 Active

Practice location

497 Gates Ave NW
Elk River, MN 55330-2633

Mailing address

2485 Como Ave
St. Paul, MN 55108-1445

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1255797718

Lutheran Social Service of Minnesota's National Provider Identifier is 1255797718, issued on Jan 13, 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 Jan 13, 2016.