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Libra Support Services Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cannon Falls, Minnesota
NPI 1700973955

Libra Support Services Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Cannon Falls, MN. Libra Support Services Llc practices in Cannon Falls, MN. The NPI Number for Libra Support Services Llc is 1700973955 and holds a License No. 1041897-1-WS (Minnesota).

The current practice location address for Libra Support Services Llc is 29650 Faith Ct, Cannon Falls, MN and can be reached out via phone at 651-402-9826 and via fax at 651-402-9826.

Location: 29650 Faith Ct, Cannon Falls, MN, 55009-9439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700973955
Provider Name
Libra Support Services Llc
Credential
Provider Entity Type
Organization
Address
29650 Faith Ct, Cannon Falls, MN, 55009-9439
Phone Number
651-402-9826
Fax Number
651-402-9826
Provider Enumeration Date
10/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
637683500 01 MN MN HEALTH CARE PROV-MHCP
institution
Provider Business Practice Location Address Details
Address
29650 Faith Ct
City
Cannon Falls
State
Minnesota
Zip
55009-9439
Phone Number
651-402-9826
Fax Number
651-402-9826
person
Provider Business Mailing Address Details
Address
29650 Faith Ct
City
Cannon Falls
State
Minnesota
Zip
55009-9439
Phone Number
651-402-9826
Fax Number
651-402-9826
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
1041897-1-WS (Minnesota)
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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