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Msocs-pine City
Intellectual Disabilities Intermediate Care Facility in Pine City, Minnesota
NPI 1750454583

Msocs-pine City is a Intellectual Disabilities Intermediate Care Facility based in Saint Paul, MN. Msocs-pine City practices in Pine City, MN. The NPI Number for Msocs-pine City is 1750454583 and holds a License No. (Minnesota).

The current practice location address for Msocs-pine City is 215 6Th Ave Se, Pine City, MN and can be reached out via phone at 320-629-2116.

Location: 215 6Th Ave Se, Pine City, MN, 55164-0979
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750454583
Provider Name
Msocs-pine City
Credential
Provider Entity Type
Organization
Address
215 6Th Ave Se, Pine City, MN, 55164-0979
Phone Number
320-629-2116
Fax Number
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
823745000 05 MN
institution
Provider Business Practice Location Address Details
Address
215 6Th Ave Se
City
Pine City
State
Minnesota
Zip
55063-1915
Phone Number
320-629-2116
Fax Number
person
Provider Business Mailing Address Details
Address
215 6Th Ave Se
City
Pine City
State
Minnesota
Zip
55063-1915
Phone Number
320-629-2116
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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