Organization · Type 2 NPI

Msocs-Jonquil

Intellectual Disabilities Intermediate Care Facility · Lakeville, MN

NPI number 1508939323 Active

Practice location

17041 Jonquil Ave
Lakeville, MN 55044-9533

Mailing address

PO Box 64979
St. Paul, MN 55164-0979

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 1508939323

Msocs-Jonquil's National Provider Identifier is 1508939323, issued on Nov 17, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Lakeville, MN. The record was last updated on Jun 18, 2008.