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Msocs-blaine
Intellectual Disabilities Intermediate Care Facility in Minneapolis, Minnesota
NPI 1508939331

Msocs-blaine is a Intellectual Disabilities Intermediate Care Facility based in Saint Paul, MN. Msocs-blaine practices in Minneapolis, MN. The NPI Number for Msocs-blaine is 1508939331 and holds a License No. (Minnesota).

The current practice location address for Msocs-blaine is 12949 Kenyon St Ne, Minneapolis, MN and can be reached out via phone at 763-755-0233.

Location: 12949 Kenyon St Ne, Minneapolis, MN, 55164-0979
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508939331
Provider Name
Msocs-blaine
Credential
Provider Entity Type
Organization
Address
12949 Kenyon St Ne, Minneapolis, MN, 55164-0979
Phone Number
763-755-0233
Fax Number
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
424045600 05 MN
institution
Provider Business Practice Location Address Details
Address
12949 Kenyon St Ne
City
Minneapolis
State
Minnesota
Zip
55449-4991
Phone Number
763-755-0233
Fax Number
person
Provider Business Mailing Address Details
Address
12949 Kenyon St Ne
City
Minneapolis
State
Minnesota
Zip
55449-4991
Phone Number
763-755-0233
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
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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