Organization · Type 2 NPI
Community Living
Intellectual Disabilities Intermediate Care Facility · Coon Rapids, MN
NPI number
1457412090
Active
Practice location
2483 109th Ave NW
Coon Rapids, MN 55433-3942
Mailing address
1600 Arboretum Blvd.
Victoria, MN 55386
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 800534 (MN) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Coon Rapids
About NPI 1457412090
Community Living's National Provider Identifier is 1457412090, issued on Dec 13, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Coon Rapids, MN. The record was last updated on Aug 22, 2020.