NPI 1134281629

Lutheran Social Service

Organisation Intellectual Disabilities Intermediate Care Facility Shoreview, MN

Practice location

Address: 925 Amble Rd, Shoreview, MN 55126-2216
Phone: (218) 824-3744
Fax: (218) 829-9217
Mailing address: 716 E St NE, Brainerd, MN 56401-2857

Authorised official

Name: Jeri Schoonover
Title: Vice President
Phone: (651) 642-5990

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 801437 (MN)

Other Intermediate Care Facility, Intellectual Disabilities providers in Minnesota →

Registry record

NPI: 1134281629
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.