Taxonomy Code 320900000X(320900000x)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. Providers: 72

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Providers

NPI Name Type Address

1306216056

Mohammed Mustapha

Individual

2438 19th Ave Nw

Rochester, MN

1316012263

Rem North Star, Inc.

Organization

677 Anne St Nw

Suite B

Bemidji, MN

1598830895

Rem Arrowhead, Inc.

Organization

1330 E Superior St

Suite 201

Duluth, MN

1033568514

Maggie Doris Tuwei

Individual

1639 Castle Dr

North Mankato, MN

1750839569

Kubra Residential Center

Organization

1711 W 143rd St Apt 120

Burnsville, MN

1972052702

Marie-noel Hiol-hiol

Individual

14642 Quartz Ter Nw

Ramsey, MN

1720166259

Divine House, Inc.

Organization

328 5th St Sw

Willmar, MN

1407396336

Viko Health Services

Organization

5651 69th Ave N

203

Brooklyn Park, MN

1356427397

Hammer Residences, Inc.

Organization

1909 Wayzata Blvd

Wayzata, MN

1205340577

MR. Dale Conrad Forslin

Individual

1029 Highway 65 Ste 107

Braham, MN

1720010382

OTR/L Linda Kay Fairchild

Individual

1696 7th St Nw

Buffalo, MN

1992211916

Residential Advantages, Inc

Organization

220 Milwaukee St

Lakefield, MN

1154814564

Laurie K. Tazelaar-williams

Individual

5253 W Bald Eagle Blvd

White Bear Lake, MN

1023455243

Actively Living Life Inc

Organization

1187 Blackhawk Dr Sw

Hutchinson, MN

1003394479

OWNER Malissa Ann Costanzo

Individual

844 8th Ave Se

Forest Lake, MN

1952831026

Noble Senior Center Inc

Organization

1094 University Ave W

Saint Paul, MN

1881163632

Jacob Wrich

Individual

603 3rd St W Apt 1

Hastings, MN

1295291573

Tricia Bastian

Individual

607 4th St S

Walker, MN

1477117885

Kelly Rae Martin

Individual

13881 Schuelke Beach Rd Nw

Miltona, MN

1326609694

Cardinal Of Minnesota, Ltd.

Organization

3008 Wellner Dr Ne

Rochester, MN

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 320900000X
Display Name Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Taxonomy Group Residential Treatment Facilities
Taxonomy Classification Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Definition A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Effective Date September 30, 2009
Modification Date September 30, 2009
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261QA3000X • providers: 10

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