Organization · Type 2 NPI

Our House of Minnesota, Inc. I

Intellectual Disabilities Intermediate Care Facility · St. Paul, MN

NPI number 1750467577 Active

Practice location

1846 Dayton Ave
St. Paul, MN 55104-6012

Fax (651) 644-6650

Mailing address

1846 Portland Ave
St. Paul, MN 55104-6062

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X801828-1-RS (MN)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1750467577

Our House of Minnesota, Inc. I's National Provider Identifier is 1750467577, issued on Oct 27, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in St. Paul, MN. The record was last updated on Aug 22, 2020.