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CLEAR WATERS LIFE CENTER
NPI 1073943304
Clinic/Center - Adult Day Care in Clearbrook, MN

Active since November 22, 2013
256 2ND AVE SW, CLEARBROOK, MN 56634(218) 776-2789(218) 776-2786 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clear Waters Life Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLEAR WATERS LIFE CENTER (NPI 1073943304) is a healthcare organization registered as an adult day care in Clearbrook, Minnesota and active in the NPI registry since November 2013. The organization lists Rebecca Susan Dorman, Administrative Executive Director, as its authorized official.

NPPES Registry Identity

NPI1073943304
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameCLEAR WATERS LIFE CENTER
Location Address256 2ND AVE SWClearbrook, MN 56634-4800
Mailing Address256 2nd Ave Sw, Box 155Clearbrook, MN 56634-4800 · (218) 776-2789 · Fax (218) 776-2786
Phone(218) 776-2789
Fax(218) 776-2786
Organization SubpartNo
Authorized OfficialRebecca Susan DormanAdministrative Executive Director · (218) 776-2789
Enumeration DateNovember 22, 2013
✔ NPI 1073943304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
256 2ND AVE SW, Clearbrook, MN 56634
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clear Waters Life Center's NPI number?

The NPI number for Clear Waters Life Center is 1073943304. It was assigned to this organization in the NPPES registry on November 22, 2013.

Where is Clear Waters Life Center located?

Clear Waters Life Center is located at 256 2nd Ave SW, Clearbrook, MN 56634. The listed phone number is (218) 776-2789.

What is Clear Waters Life Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Clear Waters Life Center was last updated on November 22, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.