IndividualActive
Misti Farrow
NPI 1891198792 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Bloomington, MN
Provider details
- NPI number
- 1891198792
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
- In Home Supportive Care Agency253Z00000X
Agencies
Practice location
7850 Metro Pkwy Ste 120
Bloomington, MN 55425-1539
Phone: (612) 598-8449
Approximate (ZIP-level) locationGet directions
Mailing address
7850 Metro Pkwy Ste 120
Bloomington, MN 55425-1539
Registry dates
- Enumerated
- 2014-10-06
- Last updated
- 2023-12-01
- Certified
- 2023-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.