Organization
REM CENTRAL LAKES, INC.
Active
Other names
REM Central Lakes, Inc. Morrison
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
1401 1ST ST NE, SARTELL, MN 56377-2468
(320) 259-6022
Mailing address
6600 FRANCE AVE S, EDINA, MN 55435-1805
(952) 922-6776
(952) 922-6885
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
831122-5-WS
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
349140
HOUSING WITH SERVICES CERTIFICATE OF REGISTRATION FROM THE MN DEPT OF HEALTH
MN
01
—
349506
MN DEPARTMENT OF HEALTH CERTIFICATION OF REGISTRATION FOR HOUSING WITH SERVICES
MN
01
—
349507
MN DEPARTMENT OF HEALTH CERTIFICATE OF REGISTRATION FOR HOUSING WITH SERVICES
MN
Enumeration date
10/25/2010
Last updated
03/04/2023
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