Whalio Doctors

NPI 1588735328

Kessel Group Home INC

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

Practice location

Address
24641 West Rivers Bend Road, Fergus Falls, MN 56537
Phone
(218) 736-6612
Mailing address
PO Box 743, Fergus Falls, MN 56538-0743

Authorised official

Name
Theodore Joseph Kessel
Title
Administrator
Phone
(218) 736-2641

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 801936 (MN)

Registry record

NPI
1588735328
Entity type
Organization
NPI issued
13 Nov 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.