OrganizationActive
Integrated Home and Community Living Services
NPI 1942450119 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Shakopee, MN
Provider details
- NPI number
- 1942450119
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Esther Chuma, Director(612) 208-4436
- License
- 1051697-1-AFC (MN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 1051697-1-AFC (MN)
Residential Treatment Facilities
Practice location
1534 Liberty Cir
Shakopee, MN 55379-4545
Phone: (612) 208-4436
Approximate (ZIP-level) locationGet directions
Mailing address
1534 Liberty Cir
Shakopee, MN 55379-4545
Registry dates
- Enumerated
- 2008-09-24
- Last updated
- 2008-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.