National Provider Identifier Database

LUTHERAN SOCIAL SERVICE OF MINNESOTA
Intermediate Care Facility, Mentally Retarded

(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.


Contact Information

LUTHERAN SOCIAL SERVICE OF MINNESOTA
11754 191 1/2 AVE NW
ELK RIVER, MN55330-1367
Phone: 651-310-9451
Fax:
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for LUTHERAN SOCIAL SERVICE OF MINNESOTA

NPI Number 1114385085
Legal business name
LBN
LUTHERAN SOCIAL SERVICE OF MINNESOTA
Authorized official BRIGID PETERSON - (CHIEF COMPLIANCE & INTEGRATION)
Entity Organization
Organization subpart No
Enumeration date 02/05/2016
Last updated 02/24/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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