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Bristol Place Corporation
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Minneapolis, Minnesota
NPI 1194818682

Bristol Place Corporation is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Minneapolis, MN. Bristol Place Corporation practices in Minneapolis, MN. The NPI Number for Bristol Place Corporation is 1194818682 and holds a License No. 803962WS (Minnesota).

The current practice location address for Bristol Place Corporation is 412 Ridgewood Ave S, Minneapolis, MN and can be reached out via phone at 612-871-0805 and via fax at 612-871-0455.

Location: 412 Ridgewood Ave S, Minneapolis, MN, 55403-3585
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194818682
Provider Name
Bristol Place Corporation
Credential
Provider Entity Type
Organization
Address
412 Ridgewood Ave S, Minneapolis, MN, 55403-3585
Phone Number
612-871-0805
Fax Number
612-871-0455
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
412 Ridgewood Ave S
City
Minneapolis
State
Minnesota
Zip
55403-3585
Phone Number
612-871-0805
Fax Number
612-871-0455
person
Provider Business Mailing Address Details
Address
412 Ridgewood Ave S
City
Minneapolis
State
Minnesota
Zip
55403-3585
Phone Number
612-871-0805
Fax Number
612-871-0455
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
803962WS (Minnesota)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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