NPI 1164591095

Prairie Community Services

Organisation Mental Illness Intermediate Care Facility Morris, MN

Practice location

Address: 801 Nevada Ave, Morris, MN 56267-1865
Phone: (320) 589-3077
Fax: (320) 589-2543

Authorised official

Name: Sherry Wagner
Title: Cfo
Phone: (320) 589-4902

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 801045-1-RS (MN)

Other Intermediate Care Facility, Mental Illness providers in Minnesota →

Registry record

NPI: 1164591095
Entity type: Organization
NPI issued: 7 Nov 2006
Record last updated: 18 Mar 2011

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.