Organization · Type 2 NPI
Msocs-Pine City
Intellectual Disabilities Intermediate Care Facility · Pine City, MN
NPI number
1750454583
Active
Practice location
215 6th Ave SE
Pine City, MN 55063-1915
Mailing address
PO Box 64979
St. Paul, MN 55164-0979
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1750454583
Msocs-Pine City's National Provider Identifier is 1750454583, issued on Nov 17, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Pine City, MN. The record was last updated on Jun 18, 2008.