Lutheran Social Service of Minnesota

NPI #1114385085 in Elk River, Minnesota

Provider Information

NPI Number
1114385085
Entity Type
Organization
Organization Name
Lutheran Social Service of Minnesota
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Feb 5, 2016
Last Updated
Feb 24, 2017

Practice Location

Address
11754 191 1/2 AVE NW
ZIP Code
55330-1367
Phone
(651) 310-9451

Authorized Official

Name
MS. BRIGID PETERSON
Title
CHIEF COMPLIANCE & INTEGRATION
Phone
(651) 310-9451

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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