Organization
K&C RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GOEDEL (OWNER)
(763) 607-1120
Entity
Organization
Contact information
Practice address
835 10TH ST, CLEARWATER, MN 55320-4585
(763) 607-1120
Mailing address
835 10TH ST, CLEARWATER, MN 55320-4585
(763) 607-1120
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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