Prairie Community Services in Morris - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Prairie Community Services - NPI 1902976673
Prairie Community Services is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Morris, Minnesota. Prairie Community Services practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Prairie Community Services is 1902976673. The last update date is 2011-03-18.
Prairie Community Services's current location address is 801 Nevada Ave, Morris, Minnesota. You can contact this provider via phone number 3205893077 and fax number 3205892543. The mailing address for Prairie Community Services is 801 Nevada Ave, Morris, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prairie Community Services |
|---|---|
| Address | 801 Nevada Ave, Morris, Minnesota |
| Phone Number | 3205893077 |
| Fax Number | 3205892543 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Wagner Sherry |
| Telephone Number | 3205894902 |
NPI Number Detail
| NPI Number | 1902976673 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2011-03-18 |
Provider Mailing Address Detail
| Address | 801 Nevada Ave |
|---|---|
| City | Morris |
| State | Minnesota (MN) |
| Post Code | 562671865 |
| Phone Number | 3205893077 |
| Fax Number | 3205892543 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 1031671-1-1- |
|
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 |
|---|---|---|---|
| 337818700 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Prairie Community Services by the Centers for Medicare & Medicaid Services?
The Prairie Community Services has been issued the NPI (National Provider Identifier) 1902976673 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Prairie Community Services?
The Prairie Community Services is physically situated at 801 Nevada Ave, in the city of Morris, state of MN, with the postal code 562671865.
What is the Prairie Community Services's specialty and taxonomy code?
The Prairie Community Services's specialty is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320900000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902976673 to Prairie Community Services?
The Centers for Medicare & Medicaid Services originally issued the 1902976673 to Prairie Community Services on 2006-11-09.
When was the information pertaining to Prairie Community Services most recently updated or revised?
The details related to Prairie Community Services, including its address, specialty, and other relevant information, were last updated or revised on 2011-03-18.
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