Individual provider · Type 1 NPI

Angi Ruthann Gunderson

Child Intellectual and/or Developmental Disabilities Respite Care · Alexandria, MN

NPI number 1972929446 Active

Practice location

2809 S Crestwood Dr NE
Alexandria, MN 56308-8967

Specialties and licenses

TaxonomyCodeLicense
Child Intellectual and/or Developmental Disabilities Respite Care Primary 385HR2060XNone listed

Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

About NPI 1972929446

Angi Ruthann Gunderson's National Provider Identifier is 1972929446, issued on Mar 8, 2014. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Alexandria, MN. The record was last updated on Mar 8, 2014.