NPI 1063680346

High Island Creek Residence

Organisation Intellectual Disabilities Intermediate Care Facility Arlington, MN

Practice location

Address: 708 Chestnut St, Arlington, MN 55307-9628
Phone: (507) 964-5984

Authorised official

Name: David Hennies
Title: President of Board
Phone: (507) 964-2256

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 801040 (MN)

Other Intermediate Care Facility, Intellectual Disabilities providers in Minnesota →

Registry record

NPI: 1063680346
Entity type: Organization
NPI issued: 20 Feb 2008
Record last updated: 20 Feb 2008

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.