NPI 1104991736

Linnea Residential Home, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Chisago City, MN

Practice location

Address: 28770 Old Towne Rd, Chisago City, MN 55013-9598
Phone: (651) 257-2211
Fax: (651) 257-9430
Mailing address: 28770 Old Towne Rd P.O. Box 450, Chisago City, MN 55013-9598

Authorised official

Name: Scott Foss
Title: Administrator
Phone: (651) 257-2211

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 801388 (MN)

Other Intermediate Care Facility, Intellectual Disabilities providers in Minnesota →

Registry record

NPI: 1104991736
Entity type: Organization
NPI issued: 21 Nov 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.