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NPI 1013072230 · Intellectual Disabilities Intermediate Care Facility · Windom, MN
Provider details
- NPI number
- 1013072230
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Devin Nelson, Chief Operating Officer
- License
- 809491-1-RS (MN)
Practice location
108 9th St
Windom, MN 56101-1746
Phone: (507) 831-5033
Fax: (507) 831-2612
Mailing address
220 Milwaukee St Ste 2
Lakefield, MN 56150-9495
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.