COMMUNITY LIVING
Intermediate Care Facility, Mentally Retarded
Coon Rapids, Minnesota
Provider NPI: 1457412090
Organization Information:Organization Name: COMMUNITY LIVING
Practice Location:
2483 109TH AVE NW COON RAPIDS, MN 55433 US
Tel: 952-443-2048 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
2483 109TH AVE NW COON RAPIDS, MN 55433 US
Tel: 952-443-2048 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | MN | 800534 |