NPI 1316121858

Seasons Adult Foster Care

Organisation Mental Illness Intermediate Care Facility Staples, MN

Practice location

Address: 310 Wisconson Ave SE, Staples, MN 56479
Phone: (218) 894-1188
Fax: (218) 894-0012
Mailing address: 40195 Paradise Dr, Browerville, MN 56438-5016

Authorised official

Name: Christopher Loyal Craft
Title: Human Resources
Phone: (218) 838-6757

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 1049478-1-AFC (MN)

Other Intermediate Care Facility, Mental Illness providers in Minnesota →

Registry record

NPI: 1316121858
Entity type: Organization
NPI issued: 19 Dec 2007
Record last updated: 19 Dec 2007

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.