Divine House, Inc
Divine House, Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Willmar, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.
- Licensed in
- MN
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
328 5th St SWWillmar, MN 56201-3200
Phone: (320) 231-2738
Fax: (320) 231-3666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 344820700 (MN) |
|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X · Licence 800666 (MN) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X · Licence 754316600 (MN) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X · Licence 97395 (MN) |
Record details
| NPI number | 1720166259 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Debra Shriver — Owner · (320) 231-2738 |
| NPI enumerated | November 1, 2006 |
| Last updated in NPPES | September 28, 2016 |
| Mailing address | 328 5th St Sw, Willmar, MN 56201-3200 |
Other providers in Willmar
-
Rem South Central, Inc
903 Highway 71 NE, Willmar, MN 56201-2654 · (952) 922-6776