Organization
THE LAZARUS PROJECT
Active
Other names
The Children's Autism Rehabilitation Education,
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY HOWELL (EXECUTIVE DIRECTOR)
(651) 452-1500
Entity
Organization
Contact information
Practice address
2520 PILOT KNOB RD, STE 190, MENDOTA HEIGHTS, MN 55120
(651) 452-1500
(651) 452-1502
Mailing address
2520 PILOT KNOB RD, STE 190, MENDOTA HEIGHTS, MN 55120
(651) 452-1500
(651) 452-1502
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085L4LA
BCBS-MN
MN
01
—
609878900
MMIS-DHS
MN
05
—
609878900
—
MN
Enumeration date
09/28/2006
Last updated
12/12/2023
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