Organization · Type 2 NPI
Northeast House Inc
Intellectual Disabilities Intermediate Care Facility · Minneapolis, MN
NPI number
1962692905
Active
Practice location
1918 19th Ave NE
Minneapolis, MN 55418-4728
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 801746-3RS (MN) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Another provider at this address
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About NPI 1962692905
Northeast House Inc's National Provider Identifier is 1962692905, issued on Jul 26, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 26, 2007.