MR. DALE CONRAD FORSLIN
NPI 1205340577
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Braham, MN

Q: What is Dale Forslin's NPI number?

The NPI number for Dale Forslin is 1205340577. It was assigned to this individual provider in the NPPES registry on November 25, 2017.

Q: What is Dale Forslin's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Dale Forslin was last updated on November 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 25, 2017

1029 HIGHWAY 65 STE 107, BRAHAM, MN 55006(763) 516-1199 Get Directions Write a Review

NPPES record last updated: November 25, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Dale Conrad Forslin NPPES

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

MR. DALE CONRAD FORSLIN (NPI 1205340577) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Braham, Minnesota, licensed in Minnesota (1086211) and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1205340577

Entity TypeIndividualMale

Primary Taxonomy320900000X

Provider Legal NameMR. DALE CONRAD FORSLIN

Location Address1029 HIGHWAY 65 STE 107Braham, MN 55006-3360

Mailing Address1029 Highway 65 Ste 107Braham, MN 55006-3360 · (763) 516-1199

Phone(763) 516-1199

Sole ProprietorYes

Enumeration DateNovember 25, 2017

✔ NPI 1205340577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in MN · 1086211

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

1029 HIGHWAY 65 STE 107, Braham, MN 55006

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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 Dale Forslin's NPI number?

The NPI number for Dale Forslin is 1205340577. It was assigned to this individual provider in the NPPES registry on November 25, 2017.

Where is Dale Forslin located?

Dale Forslin practices at 1029 Highway 65 Ste 107, Braham, MN 55006. The listed phone number is (763) 516-1199.

What is Dale Forslin's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Dale Forslin was last updated on November 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.