MR. DALE CONRAD FORSLIN NPI 1205340577

NPI Information

  • NPI: 1205340577
  • Provider Name: MR. DALE CONRAD FORSLIN
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Individual
  • Address: 1029 HIGHWAY 65 STE 107
    BRAHAM, MN
    ZIP 55006
  • Phone: (763) 516-1199

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NPI Details

MR. Dale Conrad Forslin is a community based residential treatment facility, intellectual and/or developmental disabilities in Braham, MN. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MR. Dale Conrad Forslin NPI is 1205340577. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1029 HIGHWAY 65 STE 107
BRAHAM, MN
ZIP 55006-360
Phone: (763) 516-1199

The enumeration date for this NPI number is 11/25/2017 and was last updated on 11/25/2017.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities1086211MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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