| NPI | 1720102015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALISSA PARROTT-STAHNKE Executive Director 507-824-2091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: MN 802152-1-RS) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2022-03-31 |