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Midwest Residential Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Bloomington, Minnesota
NPI 1578075750

Midwest Residential Inc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Minneapolis, MN. Midwest Residential Inc practices in Bloomington, MN. The NPI Number for Midwest Residential Inc is 1578075750 and holds a License No. 381821 (Minnesota).

The current practice location address for Midwest Residential Inc is 10917 Humboldt Ave S, Bloomington, MN and can be reached out via phone at 651-315-2649.

Location: 10917 Humboldt Ave S, Bloomington, MN, 55423-4647
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578075750
Provider Name
Midwest Residential Inc
Credential
Provider Entity Type
Organization
Address
10917 Humboldt Ave S, Bloomington, MN, 55423-4647
Phone Number
651-315-2649
Fax Number
Provider Enumeration Date
10/28/2017
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
10917 Humboldt Ave S
City
Bloomington
State
Minnesota
Zip
55431-4221
Phone Number
651-315-2649
Fax Number
person
Provider Business Mailing Address Details
Address
10917 Humboldt Ave S
City
Bloomington
State
Minnesota
Zip
55431-4221
Phone Number
651-315-2649
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
381821 (Minnesota)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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