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Peterson Family Living
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Elk River, Minnesota
NPI 1205050333

Peterson Family Living is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Elk River, MN. Peterson Family Living practices in Elk River, MN. The NPI Number for Peterson Family Living is 1205050333 and holds a License No. 1027767 1 WS (Minnesota).

The current practice location address for Peterson Family Living is 12400 Ridgewood Dr Nw, Elk River, MN and can be reached out via phone at 763-441-8034 and via fax at 763-441-8034.

Location: 12400 Ridgewood Dr Nw, Elk River, MN, 55330-8221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205050333
Provider Name
Peterson Family Living
Credential
Provider Entity Type
Organization
Address
12400 Ridgewood Dr Nw, Elk River, MN, 55330-8221
Phone Number
763-441-8034
Fax Number
763-441-8034
Provider Enumeration Date
04/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12400 Ridgewood Dr Nw
City
Elk River
State
Minnesota
Zip
55330-8221
Phone Number
763-441-8034
Fax Number
763-441-8034
person
Provider Business Mailing Address Details
Address
12400 Ridgewood Dr Nw
City
Elk River
State
Minnesota
Zip
55330-8221
Phone Number
763-441-8034
Fax Number
763-441-8034
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
1027767 1 WS (Minnesota)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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