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Organization

HIGH ISLAND CREEK RESIDENCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID HENNIES (PRESIDENT OF BOARD)
(507) 964-2256
Entity
Organization

Contact information

Practice address
708 CHESTNUT ST, ARLINGTON, MN 55307-9628
(507) 964-5984
Mailing address
708 CHESTNUT ST, ARLINGTON, MN 55307-9628
(507) 964-5984

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
801040
MN

Other

Enumeration date
02/20/2008
Last updated
02/20/2008
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