Individual provider · Type 1 NPI
Alicia Marie Olson
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Zimmerman, MN
Practice location
25844 10th St W
Zimmerman, MN 55398-8796
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 1101018 (MN) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1639710593
Alicia Marie Olson's National Provider Identifier is 1639710593, issued on Oct 2, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Zimmerman, MN. The record was last updated on Oct 2, 2019.