Divine House II Inc
Divine House II Inc is a Mental Illness Intermediate Care Facility in Willmar, Minnesota. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1508 15th St SWWillmar, MN 56201-3968
Phone: (320) 231-2738
Fax: (320) 441-2106
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X |
|---|---|
| Mental Illness Intermediate Care Facility | Taxonomy 310500000X |
Record details
| NPI number | 1528665056 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Debra Shriver — Owner/Ceo · (320) 231-2738 |
| Other names | Willmar Icf-Mr |
| NPI enumerated | October 7, 2020 |
| Last updated in NPPES | October 7, 2020 |
| Certification date | October 7, 2020 |
| Mailing address | 328 5th St Sw Ste 5, Willmar, MN 56201-3585 |