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Camilia Rose Group Home
Intellectual Disabilities Intermediate Care Facility in Coon Rapids, Minnesota
NPI 1447390570

Camilia Rose Group Home is a Intellectual Disabilities Intermediate Care Facility based in Coon Rapids, MN. Camilia Rose Group Home practices in Coon Rapids, MN. The NPI Number for Camilia Rose Group Home is 1447390570 and holds a License No. 1075259 (Minnesota).

The current practice location address for Camilia Rose Group Home is 1555 118Th Ln Nw, Coon Rapids, MN and can be reached out via phone at 763-862-5436 and via fax at 763-754-0332.

Location: 1555 118Th Ln Nw, Coon Rapids, MN, 55448-7579
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447390570
Provider Name
Camilia Rose Group Home
Credential
Provider Entity Type
Organization
Address
1555 118Th Ln Nw, Coon Rapids, MN, 55448-7579
Phone Number
763-862-5436
Fax Number
763-754-0332
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1555 118Th Ln Nw
City
Coon Rapids
State
Minnesota
Zip
55448-7579
Phone Number
763-862-5436
Fax Number
763-754-0332
person
Provider Business Mailing Address Details
Address
1555 118Th Ln Nw
City
Coon Rapids
State
Minnesota
Zip
55448-7579
Phone Number
763-862-5436
Fax Number
763-754-0332
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
1075259 (Minnesota)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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