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
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