State of Minnesota Dhs
NPI #1396617098 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1396617098
- Entity Type
- Organization
- Organization Name
- State of Minnesota Dhs
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Sep 22, 2025
- Last Updated
- Sep 22, 2025
Practice Location
- Address
- 10101 1ST AVE S
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55420-4907
- Phone
- (952) 948-2040
Authorized Official
- Name
- DENISHA J ANDERSON
- Title
- SKILLS DEVELOPMENT SPECIALIST
- Phone
- (952) 948-2040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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