OrganizationActive
Libra Support Services LLC
NPI 1700973955 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Cannon Falls, MN
Provider details
- NPI number
- 1700973955
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Stacy Luns, President/Owner(651) 402-9826
- License
- 1041897-1-WS (MN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 1041897-1-WS (MN)
Residential Treatment Facilities
Practice location
29650 Faith Ct
Cannon Falls, MN 55009-9439
Phone: (651) 402-9826
Fax: (651) 402-9826
Approximate (ZIP-level) locationGet directions
Mailing address
29650 Faith Ct
Cannon Falls, MN 55009-9439
Registry dates
- Enumerated
- 2006-10-09
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.