Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Dale Conrad Forslin

Individual provider Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1205340577

Mr. Dale Conrad Forslin is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Braham, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2017
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Practice location Address checks out

1029 Highway 65 Ste 107
Braham, MN 55006-3360
Phone: (763) 516-1199
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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 1086211 (MN)

Record details

NPI number1205340577
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 25, 2017
Last updated in NPPESNovember 25, 2017