NPI 1114089646

Community Living INC.

Organisation Intellectual Disabilities Intermediate Care Facility Victoria, MN

Practice location

Address: 1521 82nd St, Victoria, MN 55386-9773
Phone: (952) 443-2043
Mailing address: 1600 Arboretum Blvd., Victoria, MN 55386

Authorised official

Name: Monica Schmidt
Title: Administrator
Phone: (952) 443-2048

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 800533 (MN)

Other Intermediate Care Facility, Intellectual Disabilities providers in Minnesota →

Registry record

NPI: 1114089646
Entity type: Organization
NPI issued: 14 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.