Organization · Type 2 NPI
Axis Minnesota, Inc.
Intellectual Disabilities Intermediate Care Facility · Mounds View, MN
NPI number
1477617009
Active
Practice location
5533 Saint Michael St
Mounds View, MN 55112-1215
Fax (651) 774-8126
Mailing address
2345 Rice St
Roseville, MN 55113-3741
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 1032297-1-RS (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 Mounds View
About NPI 1477617009
Axis Minnesota, Inc.'s National Provider Identifier is 1477617009, issued on Dec 20, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Mounds View, MN. The record was last updated on Aug 22, 2020.