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Msocs-chatham
Intellectual Disabilities Intermediate Care Facility in Eden Prairie, Minnesota
NPI 1720151897

Msocs-chatham is a Intellectual Disabilities Intermediate Care Facility based in Saint Paul, MN. Msocs-chatham practices in Eden Prairie, MN. The NPI Number for Msocs-chatham is 1720151897 and holds a License No. (Minnesota).

The current practice location address for Msocs-chatham is 6204 Chatham Way, Eden Prairie, MN and can be reached out via phone at 952-934-0995.

Location: 6204 Chatham Way, Eden Prairie, MN, 55164-0979
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720151897
Provider Name
Msocs-chatham
Credential
Provider Entity Type
Organization
Address
6204 Chatham Way, Eden Prairie, MN, 55164-0979
Phone Number
952-934-0995
Fax Number
Provider Enumeration Date
11/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
064245200 05 MN
institution
Provider Business Practice Location Address Details
Address
6204 Chatham Way
City
Eden Prairie
State
Minnesota
Zip
55346-1307
Phone Number
952-934-0995
Fax Number
person
Provider Business Mailing Address Details
Address
6204 Chatham Way
City
Eden Prairie
State
Minnesota
Zip
55346-1307
Phone Number
952-934-0995
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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