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Prairie Community Services
Intellectual Disabilities Intermediate Care Facility in Spicer, Minnesota
NPI 1467530501

Prairie Community Services is a Intellectual Disabilities Intermediate Care Facility based in Morris, MN. Prairie Community Services practices in Spicer, MN. The NPI Number for Prairie Community Services is 1467530501 and holds a License No. 808004-1-RS (Minnesota).

The current practice location address for Prairie Community Services is 256 Lake Ave N, Spicer, MN and can be reached out via phone at 320-589-3077 and via fax at 320-589-2543.

Location: 256 Lake Ave N, Spicer, MN, 56267-1874
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467530501
Provider Name
Prairie Community Services
Credential
Provider Entity Type
Organization
Address
256 Lake Ave N, Spicer, MN, 56267-1874
Phone Number
320-589-3077
Fax Number
320-589-2543
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
107522500 05 MN
institution
Provider Business Practice Location Address Details
Address
256 Lake Ave N
City
Spicer
State
Minnesota
Zip
56288-9512
Phone Number
320-589-3077
Fax Number
320-589-2543
person
Provider Business Mailing Address Details
Address
256 Lake Ave N
City
Spicer
State
Minnesota
Zip
56288-9512
Phone Number
320-589-3077
Fax Number
320-589-2543
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
808004-1-RS (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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