Individual provider · Type 1 NPI
Shelly Olson
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Duluth, MN
Practice location
5448 W Island Lake Rd
Duluth, MN 55803-8405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 1076151-1-HCBS (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 1801293444
Shelly Olson's National Provider Identifier is 1801293444, issued on Nov 25, 2014. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Duluth, MN. The record was last updated on Nov 25, 2014.