OrganizationActive
Lutheran Social Service
NPI 1417019993 · Intellectual Disabilities Intermediate Care Facility · Adams, MN
Provider details
- NPI number
- 1417019993
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Lutheran Social Service of Mn.
- Organization subpart
- Yes
- Authorized official
- Jeralee Schoonover, Vice President, Community Services(651) 969-2348
- License
- 800037-3-RS (MN)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
302 1st St.
Cross Home
Adams, MN 55909
Phone: (507) 324-3725
Fax: (507) 324-3728
Approximate (ZIP-level) locationGet directions
Mailing address
716 E St Ne
Brainerd, MN 56401-2857
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2009-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.