HOME FOR CREATIVE LIVING NPI 1013072230

NPI Information

HOME FOR CREATIVE LIVING is an intermediate care facility mentally retarded in Windom, MN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. HOME FOR CREATIVE LIVING NPI is 1013072230. The provider is registered as an organization entity type.

The provider's business location address is:

108 9TH ST
WINDOM, MN
ZIP 56101-746
Phone: (507) 831-5033
Fax: (507) 831-2612

The provider's authorized official is Devin Nelson .
The authorized official title is Chief Operating Officer and has the following contact phone number (507) 233-4400.

The CLIA number assigned to this NPI record is 24D0405197 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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