NPI 1114385085

Lutheran Social Service of Minnesota

Organisation Intellectual Disabilities Intermediate Care Facility Elk River, MN

Practice location

Address: 11754 191 1/2 Ave NW, Elk River, MN 55330-1367
Phone: (651) 310-9451
Mailing address: 2485 Como Ave, Saint Paul, MN 55108-1445

Authorised official

Name: Brigid Peterson
Title: Chief Compliance & Integration
Phone: (651) 310-9451

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Minnesota →

Registry record

NPI: 1114385085
Entity type: Organization
NPI issued: 5 Feb 2016
Record last updated: 24 Feb 2017

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.