Provider Demographics
NPI:1053409003
Name:DAKOTA COUNTY MINNESOTA
Entity type:Organization
Organization Name:DAKOTA COUNTY MINNESOTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLIENT DRIVEN SUPPORT COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CONRATH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-554-6046
Mailing Address - Street 1:1590 HIGHWAY 55
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-2343
Mailing Address - Country:US
Mailing Address - Phone:651-438-4508
Mailing Address - Fax:651-438-4603
Practice Address - Street 1:1 MENDOTA RD W
Practice Address - Street 2:SUITE 300
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-4764
Practice Address - Country:US
Practice Address - Phone:651-554-6046
Practice Address - Fax:651-438-4603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered251E00000XAgenciesHome Health
Not Answered251J00000XAgenciesNursing Care
Not Answered251K00000XAgenciesPublic Health or Welfare
Not Answered251S00000XAgenciesCommunity/Behavioral Health