Residential Advantages, Inc

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lakefield, MN

NPI 1992211916 · NPPES record last updated Mar 5, 2023

Key facts

NPI
1992211916
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
RESIDENTIAL ADVANTAGES, INC
Practice address
220 Milwaukee St
Lakefield, MN 56150-9494
Phone
(507) 662-5236
Fax
(952) 922-6885
NPI assigned
Dec 28, 2017
Organization subpart
No

Authorized official

Name
Brett Ian Cohen
Title
Coo
Phone
(800) 388-5150

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Residential Advantages Inc (3 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

220 Milwaukee St
Lakefield, MN 56150-9494

Mailing address

6600 France Ave S
Edina, MN 55435-1805
Phone (952) 925-5067

Other identifiers

IdentifierTypeStateIssuer
1071037-1-HCRSMedicaidMN

Other providers in Lakefield, MN

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

Sources for this page

Verify at the official NPI Registry.