NPI 1336200922

Aldrich Boarding Care Home, LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility St. Paul, MN

Practice location

Address: 1932 University Avenue West, St. Paul, MN 55104
Phone: (612) 695-6041
Fax: (651) 528-8427

Authorised official

Name: Paul Gans
Title: Chief Operations Officer
Phone: (952) 913-5990

Registered specialties (2)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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 800642-2-RS (MN)

Registry record

NPI: 1336200922
Entity type: Organization
NPI issued: 13 Dec 2006
Record last updated: 2 Oct 2019

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.