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LAURA BAKER SCHOOL ASSOCIATION

Intermediate Care Facility, Mentally Retarded

Northfield, Minnesota

Provider NPI: 1962509190

Organization Information:
Organization Name:  LAURA BAKER SCHOOL ASSOCIATION


Practice Location:
211 OAK ST  NORTHFIELD, MN 55057 US
Tel: 507-645-8866  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
MN24G500

Other Provider Identifiers:

IssuerNumberStateType
81631300WI05
0881391IA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS MN - Page 1



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