Lutheran Social Service of Minnesota

NPI #1255797718 in Elk River, Minnesota

Provider Information

NPI Number
1255797718
Entity Type
Organization
Organization Name
Lutheran Social Service of Minnesota
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Jan 13, 2016
Last Updated
Jan 13, 2016

Practice Location

Address
497 GATES AVE NW
ZIP Code
55330-2633
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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