institution
Msocs-shumway
Intellectual Disabilities Intermediate Care Facility in Faribault, Minnesota
NPI 1912070723

Msocs-shumway is a Intellectual Disabilities Intermediate Care Facility based in Saint Paul, MN. Msocs-shumway practices in Faribault, MN. The NPI Number for Msocs-shumway is 1912070723 and holds a License No. (Minnesota).

The current practice location address for Msocs-shumway is 1805 Shumway Ave, Faribault, MN and can be reached out via phone at 507-332-0495.

Location: 1805 Shumway Ave, Faribault, MN, 55164-0979
institution
Provider Profile Details
NPI Number
1912070723
Provider Name
Msocs-shumway
Credential
Provider Entity Type
Organization
Address
1805 Shumway Ave, Faribault, MN, 55164-0979
Phone Number
507-332-0495
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
074045400 05 MN
institution
Provider Business Practice Location Address Details
Address
1805 Shumway Ave
City
State
Zip
55021-3102
Phone Number
507-332-0495
Fax Number
person
Provider Business Mailing Address Details
Address
1805 Shumway Ave
City
State
Zip
55021-3102
Phone Number
507-332-0495
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
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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