April Olson

Individual provider Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Dilworth, MN

NPI 1003660119 · NPPES record last updated Apr 15, 2024

Key facts

NPI
1003660119
Entity type
Individual (NPI type 1)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Practice address
610 4TH St NE
Dilworth, MN 56529-1131
Phone
(218) 443-8649
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MN Yes

Addresses

Primary practice location

610 4TH St NE
Dilworth, MN 56529-1131

Mailing address

610 4TH St NE
Dilworth, MN 56529-1131

Other providers in Dilworth, MN

All providers in Dilworth, MN · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Minnesota

Sources for this page

Verify at the official NPI Registry.