Organization · Type 2 NPI
Lutheran Social Service
Intellectual Disabilities Intermediate Care Facility · Adams, MN
NPI number
1417019993
Active
Practice location
302 1st St., Cross Home
Adams, MN 55909
Fax (507) 324-3728
Mailing address
716 E St NE
Brainerd, MN 56401-2857
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 800037-3-RS (MN) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1417019993
Lutheran Social Service's National Provider Identifier is 1417019993, issued on Dec 14, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Adams, MN. The record was last updated on Jul 15, 2009.