National Provider Identifier Database

GLENDALOUGH OF AUSTIN INC
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

GLENDALOUGH OF AUSTIN, INC.
1409 12TH AVE NW
AUSTIN, MN55912-1912
Phone: 507-433-6499
Fax:
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for GLENDALOUGH OF AUSTIN, INC.

NPI Number 1396811519
Legal business name
LBN
GLENDALOUGH OF AUSTIN, INC.
Authorized official RUSS KENNEDY - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/28/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 804833 2 RS

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.

Reviews for GLENDALOUGH OF AUSTIN, INC.

There are currently no reviews for GLENDALOUGH OF AUSTIN, INC.


NPIdb - Home
v2.201