OUR HOUSE OF MINNESOTA, INC. I
Intermediate Care Facility, Mentally Retarded
Saint Paul, Minnesota
Provider NPI: 1750467577
Organization Information:Organization Name: OUR HOUSE OF MINNESOTA, INC. I
Practice Location:
1846 DAYTON AVE SAINT PAUL, MN 55104 US
Tel: 651-644-6650 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
1846 DAYTON AVE SAINT PAUL, MN 55104 US
Tel: 651-644-6650 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 | 801828-1-RS |