Provider Demographics
NPI:1629384086
Name:MAKING THE CONNECTION
Entity Type:Organization
Organization Name:MAKING THE CONNECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BEHAVIOR SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISE
Authorized Official - Middle Name:C
Authorized Official - Last Name:MERILLAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-997-6242
Mailing Address - Street 1:7270 130TH ST W
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-9601
Mailing Address - Country:US
Mailing Address - Phone:952-997-6242
Mailing Address - Fax:952-997-2320
Practice Address - Street 1:7270 130TH ST W
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-9601
Practice Address - Country:US
Practice Address - Phone:952-997-6242
Practice Address - Fax:952-997-2320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1018126-3-FCC385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child