NPI 1821130436
Elm North INC
Practice location
- Address
- 104 22nd Ave NE, Waseca, MN 56093-2610
- Phone
- (507) 835-1146
- Fax
- (507) 835-4574
- Mailing address
- 204 2nd St SW, Waseca, MN 56093-2544
Authorised official
- Name
- Eugene L Miller
- Title
- Administrator
- Phone
- (507) 835-1146
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1821130436
- Entity type
- Organization
- NPI issued
- 12 Feb 2007
- 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.