National Provider Identifier Database

LUTHERAN SOCIAL SERVICE
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
302 1ST ST.
CROSS HOME
ADAMS, MN55909
Phone: 507-324-3725
Fax: 507-324-3728
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for LUTHERAN SOCIAL SERVICE

NPI Number 1417019993
Legal business name
LBN
LUTHERAN SOCIAL SERVICE
Authorized official JERALEE SCHOONOVER - (VICE PRESIDENT, COMMUNITY SERVICES)
Entity Organization
Organization subpart Yes
Enumeration date 12/14/2006
Last updated 07/15/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 800037-3-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.

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