| Organization Name: | PRAIRIE COMMUNITY SERVICES |
| NPI Number: | 1164591095 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHERRY WAGNER (CFO) |
| Mailing Address: | 801 Nevada Ave Morris |
| State: | MN US |
| Postal Code: | 562671865 |
| Phone Number: | 3205893077 |
| Fax Number: | 3205892543 |
| NPI Enumeration Date: | 11/07/2006 |
| NPI Last Update Date: | 03/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 310500000X |
| License Number: | 801045-1-RS |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Intermediate Care Facility, Mental Illness |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |