High Island Creek Residence in Arlington - Intermediate Care Facility, Intellectual Disabilities

High Island Creek Residence - NPI 1063680346

High Island Creek Residence is a Intermediate Care Facility, Intellectual Disabilities in Arlington, Minnesota. High Island Creek Residence practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for High Island Creek Residence is 1063680346. The last update date is 2008-02-20.

High Island Creek Residence's current location address is 708 Chestnut St, Arlington, Minnesota. You can contact this provider via phone number 5079645984. The mailing address for High Island Creek Residence is 708 Chestnut St, Arlington, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization High Island Creek Residence
Address 708 Chestnut St, Arlington, Minnesota
Phone Number 5079645984
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Hennies David
Telephone Number 5079642256

NPI Number Detail

NPI Number 1063680346
Provider Enumeration Date 2008-02-20
Last Updated Date 2008-02-20

Provider Mailing Address Detail

Address 708 Chestnut St
City Arlington
State Minnesota (MN)
Post Code 553079628
Phone Number 5079645984
Fax Number

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No 801040
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

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FAQs about High Island Creek Residence

What is the unique 10-digit identification code assigned to High Island Creek Residence by the Centers for Medicare & Medicaid Services?

The High Island Creek Residence has been issued the NPI (National Provider Identifier) 1063680346, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where High Island Creek Residence is physically located?

The High Island Creek Residence is physically situated at the following address: 708 Chestnut St, Arlington, MN, 553079628.

What is High Island Creek Residence's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for High Island Creek Residence is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that categorizes this field of expertise is 315P00000X.

On what date did High Island Creek Residence receive its 1063680346 assignment from the Centers for Medicare & Medicaid Services?

The High Island Creek Residence was assigned its 1063680346 on 2008-02-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding High Island Creek Residence, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to High Island Creek Residence, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-02-20.

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