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Organization
LUTHERAN SOCIAL SERVICE OF MINNESOTA
Active
Organization
LUTHERAN SOCIAL SERVICE OF MINNESOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRIGID PETERSON (CHIEF COMPLIANCE & INTEGRATION)
(651) 310-9451
Entity
Organization
Contact information
Practice address
11754 191 1/2 AVE NW, ELK RIVER, MN 55330-1367
(651) 310-9451
Mailing address
2485 COMO AVE, SAINT PAUL, MN 55108-1445
(800) 582-5260
(651) 969-2350
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/05/2016
Last updated
02/24/2017
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