Organization
LUTHERAN SOCIAL SERVICE
Active
Parent organization
LUTHERAN SOCIAL SERVICE OF MN.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTHERAN SOCIAL SERVICE OF MN.
Authorized official
MS. JERALEE JOAN SCHOONOVER (VICE PRESIDENT, COMMUNITY SERVICES)
(651) 969-2348
Entity
Organization
Contact information
Practice address
302 1ST ST., CROSS HOME, ADAMS, MN 55909
(507) 324-3725
(507) 324-3728
Mailing address
716 E ST NE, BRAINERD, MN 56401-2857
(218) 824-3744
(218) 829-9217
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
800037-3-RS
MN
Other
Enumeration date
12/14/2006
Last updated
07/15/2009
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