OrganizationActive
Msocs-Chatham
NPI 1720151897 · Intellectual Disabilities Intermediate Care Facility · Eden Prairie, MN
Provider details
- NPI number
- 1720151897
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Parent organization
- Eastern Minnesota State Operated Community Services
- Authorized official
- Roger Deneen, Residential Prog Svcs Director
Mailing address
Po Box 64979
Saint Paul, MN 55164-0979
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2008-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.