Libra Support Services Llc in Cannon Falls - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Libra Support Services Llc - NPI 1700973955
Libra Support Services Llc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Cannon Falls, Minnesota. Libra Support Services Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Libra Support Services Llc is 1700973955. The last update date is 2022-07-21.
Libra Support Services Llc's current location address is 29650 Faith Ct, Cannon Falls, Minnesota. You can contact this provider via phone number 6514029826. The mailing address for Libra Support Services Llc is 29650 Faith Ct, Cannon Falls, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Libra Support Services Llc |
|---|---|
| Address | 29650 Faith Ct, Cannon Falls, Minnesota |
| Phone Number | 6514029826 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Luns Lynn Stacy |
| Telephone Number | 6514029826 |
NPI Number Detail
| NPI Number | 1700973955 |
|---|---|
| Provider Enumeration Date | 2006-10-09 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 29650 Faith Ct |
|---|---|
| City | Cannon Falls |
| State | Minnesota (MN) |
| Post Code | 550099439 |
| Phone Number | 6514029826 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 1041897-1-WS |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 637683500 | MN | MN HEALTH CARE PROV-MHCP |
Post Comment/ Review Below
What is the Libra Support Services Llc's unique identification number?
The Libra Support Services Llc has been assigned the NPI (National Provider Identifier) Number 1700973955 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Libra Support Services Llc is located?
The Libra Support Services Llc is situated at the following address: 29650 Faith Ct, Cannon Falls, MN, 550099439.
What is Libra Support Services Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Libra Support Services Llc is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320900000X.
On what date did the Libra Support Services Llc receive its 1700973955 assignment from the Centers for Medicare & Medicaid Services?
The Libra Support Services Llc was assigned its 1700973955 by the Centers for Medicare & Medicaid Services on 2006-10-09.
As of what date were the Libra Support Services Llc's details last updated?
The information pertaining to the Libra Support Services Llc, including its address, specialty, and other details, was most recently updated on 2022-07-21.
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