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Organization

BEAR CREEK SERVICES

Active
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Organization

BEAR CREEK SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANE SELLNER (PROGRAM DIRECTOR)
(507) 288-7195
Entity
Organization

Contact information

Practice address
3108 HWY 52 N, ROCHESTER, MN 55901-1916
(507) 288-7195
Mailing address
3108 HWY 52 N, ROCHESTER, MN 55901-1916

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
917017100
MN
Enumeration date
05/06/2008
Last updated
05/06/2008
About Stedi
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