Divine House Ii Inc. in Dawson - Intermediate Care Facility, Intellectual Disabilities

Divine House Ii Inc. - NPI 1770623217

Divine House Ii Inc. is a Intermediate Care Facility, Intellectual Disabilities in Dawson, Minnesota. Divine House Ii Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Divine House Ii Inc. is 1770623217. The last update date is 2020-08-22.

Divine House Ii Inc.'s current location address is 2974 192nd St, Dawson, Minnesota. You can contact this provider via phone number 3207694444. The mailing address for Divine House Ii Inc. is 2974 192nd St, Dawson, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Divine House Ii Inc.
Address 2974 192nd St, Dawson, Minnesota
Phone Number 3207694444
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Hillstrom Todd
Telephone Number 3207694444

NPI Number Detail

NPI Number 1770623217
Provider Enumeration Date 2007-02-07
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2974 192nd St
City Dawson
State Minnesota (MN)
Post Code 56232
Phone Number 3207694444
Fax Number

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

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FAQs about Divine House Ii Inc.

What is the unique 10-digit identifier code assigned to Divine House Ii Inc. by the Centers for Medicare & Medicaid Services?

The Divine House Ii Inc. has been issued the NPI (National Provider Identifier) 1770623217 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Divine House Ii Inc. is geographically located?

The Divine House Ii Inc. is physically situated at the following location: 2974 192Nd St, Dawson, MN, 56232.

What is Divine House Ii Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Divine House Ii Inc.'s area of specialization is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 315P00000X.

On what date was the 1770623217 assigned to Divine House Ii Inc.?

The Divine House Ii Inc. was issued its 1770623217 on 2007-02-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Divine House Ii Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Divine House Ii Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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