NPI 1013072230
Home for Creative Living
Practice location
- Address
- 108 9th St, Windom, MN 56101-1746
- Phone
- (507) 831-5033
- Fax
- (507) 831-2612
- Mailing address
- 220 Milwaukee St STE 2, Lakefield, MN 56150-9495
Authorised official
- Name
- Devin Nelson
- Title
- Chief Operating Officer
- Phone
- (507) 233-4400
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1013072230
- Entity type
- Organization
- NPI issued
- 27 Dec 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.