Organization
LUTHERAN SOCIAL SERVICE OF MN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK PETERSON (PRESIDENT/CEO)
(800) 582-5260
Entity
Organization
Contact information
Practice address
19190 305TH ST, RED WING, MN 55066-7008
(651) 388-7937
(651) 388-8848
Mailing address
2485 COMO AVE, SAINT PAUL, MN 55108-1445
(800) 582-5260
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
804381-3-WS
MINNESOTA DEPARTMENT OF HUMAN SERVICES
MN
Enumeration date
08/27/2009
Last updated
09/22/2009
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