High Island Creek Residence

NPI #1063680346 in Arlington, Minnesota

Provider Information

NPI Number
1063680346
Entity Type
Organization
Organization Name
High Island Creek Residence
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Feb 20, 2008
Last Updated
Feb 20, 2008

Practice Location

Address
708 CHESTNUT ST
ZIP Code
55307-9628
Phone
(507) 964-5984

Authorized Official

Name
MR. DAVID HENNIES
Title
PRESIDENT OF BOARD
Phone
(507) 964-2256

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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