NPI 1073742383

Lutheran Social Service of Minnesota

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Leroy, MN

Practice location

Address: 198 Penny Lane, Leroy, MN 55951
Phone: (507) 342-3725
Mailing address: 2485 Como Ave, Saint Paul, MN 55108-1445

Authorised official

Name: Mark Peterson
Title: Ceo
Phone: (651) 642-5990

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 1054398 (MN)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Minnesota →

Registry record

NPI: 1073742383
Entity type: Organization
NPI issued: 8 Jul 2009
Record last updated: 8 Jul 2009

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.