NPI 1194818682

Bristol Place Corporation

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Minneapolis, MN

Practice location

Address: 412 Ridgewood Ave S, Minneapolis, MN 55403-3585
Phone: (612) 871-0805
Fax: (612) 871-0455

Authorised official

Name: Daniel R Schneider
Title: Executive Director
Phone: (612) 871-0805

Registered specialties (3)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 8014812RS (MN)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Minnesota →

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence 803962WS (MN)

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence 8025061RS (MN)

Registry record

NPI: 1194818682
Entity type: Organization
NPI issued: 2 Oct 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.