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Msocs-swan Lake
Intellectual Disabilities Intermediate Care Facility in Duluth, Minnesota
NPI 1558434399

Msocs-swan Lake is a Intellectual Disabilities Intermediate Care Facility based in Saint Paul, MN. Msocs-swan Lake practices in Duluth, MN. The NPI Number for Msocs-swan Lake is 1558434399 and holds a License No. (Minnesota).

The current practice location address for Msocs-swan Lake is 1423 Swan Lake Rd, Duluth, MN and can be reached out via phone at 218-722-9449.

Location: 1423 Swan Lake Rd, Duluth, MN, 55164-0979
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1558434399
Provider Name
Msocs-swan Lake
Credential
Provider Entity Type
Organization
Address
1423 Swan Lake Rd, Duluth, MN, 55164-0979
Phone Number
218-722-9449
Fax Number
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1423 Swan Lake Rd
City
Duluth
State
Minnesota
Zip
55811-4606
Phone Number
218-722-9449
Fax Number
person
Provider Business Mailing Address Details
Address
1423 Swan Lake Rd
City
Duluth
State
Minnesota
Zip
55811-4606
Phone Number
218-722-9449
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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