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COMMUNITY LIVING
Intellectual Disabilities Intermediate Care Facility
NPI: 1457412090Organization
Specialties, Licenses & Credentials
Intellectual Disabilities Intermediate Care FacilityPrimary
Intermediate Care Facility, Intellectual Disabilities
Code: 315P00000X
800534(MN)
Contact & Hours
- Address
- 2483 109TH AVE NW
COON RAPIDS, MN 55433 - Phone
- (952) 443-2048
Quick Facts
- NPI
- 1457412090
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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