OrganizationActive
Sharon Shofner Adult Foster Care
NPI 1699008805 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Brookston, MN
Provider details
- NPI number
- 1699008805
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Sharon Shofner, Care Provider(218) 453-1083
- License
- 201343-3-AFC (MN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 201343-3-AFC (MN)
Residential Treatment Facilities
Practice location
8783 2nd St South
Brookston, MN 55711
Phone: (218) 453-1083
Approximate (ZIP-level) locationGet directions
Mailing address
8783 2nd St South
Brookston, MN 55711
Registry dates
- Enumerated
- 2009-09-08
- Last updated
- 2009-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.