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Search › Minnesota › Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Dale Forslin

NPI 1205340577 · on the registry since 2017 · sole proprietor

Practice

Address
1029 Highway 65 Ste 107
Braham, MN 55006
Phone
(763) 516-1199

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-11-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota