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Ramsey County D.b.a. Lake Owasso Residence
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Shoreview, Minnesota
NPI 1871651521

Ramsey County D.b.a. Lake Owasso Residence is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Shoreview, MN. Ramsey County D.b.a. Lake Owasso Residence practices in Shoreview, MN. The NPI Number for Ramsey County D.b.a. Lake Owasso Residence is 1871651521 and holds a License No. 801333-1-RS (Minnesota).

The current practice location address for Ramsey County D.b.a. Lake Owasso Residence is 210 N Owasso Blvd, Shoreview, MN and can be reached out via phone at 651-765-7700 and via fax at 651-765-7722.

Location: 210 N Owasso Blvd, Shoreview, MN, 55126-3074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871651521
Provider Name
Ramsey County D.b.a. Lake Owasso Residence
Credential
Provider Entity Type
Organization
Address
210 N Owasso Blvd, Shoreview, MN, 55126-3074
Phone Number
651-765-7700
Fax Number
651-765-7722
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
436843600 05 MN
institution
Provider Business Practice Location Address Details
Address
210 N Owasso Blvd
City
Shoreview
State
Minnesota
Zip
55126-3074
Phone Number
651-765-7700
Fax Number
651-765-7722
person
Provider Business Mailing Address Details
Address
210 N Owasso Blvd
City
Shoreview
State
Minnesota
Zip
55126-3074
Phone Number
651-765-7700
Fax Number
651-765-7722
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
801333-1-RS (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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