Organization · Type 2 NPI
Libra Support Services LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Cannon Falls, MN
Practice location
29650 Faith Ct
Cannon Falls, MN 55009-9439
Fax (651) 402-9826
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 1041897-1-WS (MN) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1700973955
Libra Support Services LLC's National Provider Identifier is 1700973955, issued on Oct 9, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Cannon Falls, MN. The record was last updated on Jul 21, 2022.