INDEPENDENT DISABILITY SERVICES
Residential Treatment Facilities at 5 Ave, Little Falls, MN

License number
Minnesota 1047172
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: TANYA MARIE DEROSIER
Title: PROGRAM MANAGER
Phone: (320) 632-2674
Address
Address
1201 5Th Ave SE, Little Falls, MN 56345
National Provider ID: 1093926099
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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