person
Kelly Rae Martin
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Miltona, Minnesota
NPI 1477117885

Kelly Rae Martin is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Miltona, MN. Kelly Rae Martin practices in Miltona, MN. The NPI Number for Kelly Rae Martin is 1477117885 and holds a License No. (Minnesota).

The current practice location address for Kelly Rae Martin is 13881 Schuelke Beach Rd Nw, Miltona, MN and can be reached out via phone at 218-639-1843.

Location: 13881 Schuelke Beach Rd Nw, Miltona, MN, 56354-8300
person
Provider Profile Details
NPI Number
1477117885
Provider Name
Kelly Rae Martin
Credential
Provider Entity Type
Individual
Gender
Female
Address
13881 Schuelke Beach Rd Nw, Miltona, MN, 56354-8300
Phone Number
218-639-1843
Fax Number
Provider Enumeration Date
05/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13881 Schuelke Beach Rd Nw
City
State
Zip
56354
Phone Number
218-639-1843
Fax Number
person
Provider Business Mailing Address Details
Address
13881 Schuelke Beach Rd Nw
City
State
Zip
56354
Phone Number
218-639-1843
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
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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