IndividualActive
Alicia Olson
NPI 1639710593 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Zimmerman, MN
Provider details
- NPI number
- 1639710593
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1101018 (MN)
Mailing address
25844 10th St W
Zimmerman, MN 55398-8796
Registry dates
- Enumerated
- 2019-10-02
- Last updated
- 2019-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.