Malissa Ann Costanzo OWNER

  • NPI 1003394479
According to our database, the NPI number for Malissa Ann Costanzo OWNER is 1003394479 and activated since 5 years ago. Malissa Ann Costanzo OWNER is an individual provider who specializes in Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, and the primary practice location is 844 8th Ave Se, Forest Lake, MN 55025. You can also contact Malissa Ann Costanzo OWNER via telephone number is (651) 272-5608. Provider NPI information was last updated on 08/01/2018.

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Overview of Malissa Ann Costanzo OWNER

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 07/30/2018
  • Last updated: 08/01/2018

Primary Scrop of Practice

  • Taxonomy Code: 320900000X
  • Specialty: Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
  • License Number: 1094965-1-HCBS
  • License State: MN

Provider Mailing Address

  • Address: 844 8th Ave Se
    Forest Lake, MN 55025
  • Phone: 651-272-5608
  • Fax:

Provider Practice Location

  • Address: 844 8th Ave Se
    Forest Lake, MN 55025
  • Phone: 651-272-5608
  • Fax:

Scope of Practice

  • Taxonomy Code: 320900000X
  • Specialty: Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
  • License Number: 1094965-1-
  • License State: MN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Malissa Ann Costanzo OWNER?
  • A: The npi number for Malissa Ann Costanzo OWNER is 1003394479.
  • Q: What are Malissa Ann Costanzo OWNER's specialties?
  • A: Malissa Ann Costanzo OWNER's specialties are Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities and different specialities.
  • Q: What is the medical license for Malissa Ann Costanzo OWNER?
  • A: The medical license number for Malissa Ann Costanzo OWNER is 1094965-1-HCBS and issued in MN in USA.
  • Q: Where is Malissa Ann Costanzo OWNER practice location?
  • A: Malissa Ann Costanzo OWNER is practicing at 844 8th Ave Se, Forest Lake, MN 55025.
  • Q: How to contact Malissa Ann Costanzo OWNER?
  • A: You can contact Malissa Ann Costanzo OWNER via 651-272-5608.