Organization · Type 2 NPI
Prairie Community Services
Intellectual Disabilities Intermediate Care Facility · Spicer, MN
NPI number
1467530501
Active
Practice location
256 Lake Ave N
Spicer, MN 56288-9512
Fax (320) 589-2543
Mailing address
801 Nevada Ave Ste 100
Morris, MN 56267-1874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 808004-1-RS (MN) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1467530501
Prairie Community Services's National Provider Identifier is 1467530501, issued on Nov 2, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Spicer, MN. The record was last updated on Mar 18, 2011.