NPI 1497604995

K&c Residential Services

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

Practice location

Address: 835 10th St, Clearwater, MN 55320-4585
Phone: (763) 607-1120

Authorised official

Name: Nicholas Goedel
Title: Owner
Phone: (763) 607-1120

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1497604995
Entity type: Organization
NPI issued: 27 Jan 2026
Record last updated: 27 Jan 2026

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.