Peterson Family Living
Peterson Family Living is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Elk River, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.
- Licensed in
- MN
- In the registry since
- 2007
Practice location Address checks out
12400 Ridgewood Dr NWElk River, MN 55330-8221
Phone: (763) 441-8034
Fax: (763) 441-8034
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 1027767 1 WS (MN) |
|---|
Record details
| NPI number | 1205050333 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kathie Peterson — Residential Coordinator · (763) 441-8034 |
| NPI enumerated | April 12, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 12400 Ridgewood Dr Nw, Elk River, MN 55330-8221 |