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Organization

LUTHERAN SOCIAL SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JERI SCHOONOVER (VICE PRESIDENT)
(651) 642-5990
Entity
Organization

Contact information

Practice address
5231 HIGHWAY 61 W, RED WING, MN 55066-1117
(218) 824-3744
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
802597-3-RS
MN

Other

Enumeration date
12/14/2006
Last updated
08/22/2020
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