Organization · Type 2 NPI

Grand Avenue Rest Home Inc

Mental Illness Intermediate Care Facility · Minneapolis, MN

NPI number 1932196235 Active

Practice location

3956 Grand Ave S
Minneapolis, MN 55409-1535

Fax (612) 824-2219

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Intermediate Care Facility Primary 310500000XNone listed

Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

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About NPI 1932196235

Grand Avenue Rest Home Inc's National Provider Identifier is 1932196235, issued on Oct 1, 2005. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 22, 2020.