IndividualActive
Shelly Olson
NPI 1801293444 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Duluth, MN
Provider details
- NPI number
- 1801293444
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1076151-1-HCBS (MN)
Mailing address
5448 W Island Lake Rd
Duluth, MN 55803-8405
Registry dates
- Enumerated
- 2014-11-25
- Last updated
- 2014-11-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.