Lake Region Halfway Homes, Inc. in Fergus Falls - Substance Abuse Rehabilitation Facility

Lake Region Halfway Homes, Inc. - NPI 1851455323

Lake Region Halfway Homes, Inc. is a Substance Abuse Rehabilitation Facility in Fergus Falls, Minnesota. Lake Region Halfway Homes, Inc. practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Lake Region Halfway Homes, Inc. is 1851455323. The last update date is 2009-09-10.

Lake Region Halfway Homes, Inc.'s current location address is 217 N Union Ave, Fergus Falls, Minnesota. You can contact this provider via phone number 2187399084 and fax number 2187390518. The mailing address for Lake Region Halfway Homes, Inc. is 217 N Union Ave, Fergus Falls, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lake Region Halfway Homes, Inc.
Address 217 N Union Ave, Fergus Falls, Minnesota
Phone Number 2187399084
Fax Number 2187390518
Sole Proprietor --
Credentials --

Authorized Official

Title or Position TREATMENT
Authorized Official Name Clark E. Sherri
Credentials LADC
Telephone Number 2187399084

NPI Number Detail

NPI Number 1851455323
Provider Enumeration Date 2006-12-20
Last Updated Date 2009-09-10

Provider Mailing Address Detail

Address 217 N Union Ave
City Fergus Falls
State Minnesota (MN)
Post Code 565372127
Phone Number 2187399084
Fax Number 2187390518

Provider's Primary Taxonomy Detail

Speciality Substance Abuse Rehabilitation Facility
Taxonomy 324500000X
Licence No 801334-2-CDT
Definition:
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
726555700 MN MHCP PROVIDER NUMBER

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FAQs about Lake Region Halfway Homes, Inc.

What is the unique identification code assigned to Lake Region Halfway Homes, Inc. by the Centers for Medicare & Medicaid Services?

The Lake Region Halfway Homes, Inc. has been issued the NPI (National Provider Identifier) 1851455323. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Lake Region Halfway Homes, Inc. is geographically located?

The Lake Region Halfway Homes, Inc. is physically situated at the following location: 217 N Union Ave, Fergus Falls, MN, 565372127.

What is Lake Region Halfway Homes, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lake Region Halfway Homes, Inc.'s specialized field of practice is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy code that categorizes this area of specialization is 324500000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1851455323 to Lake Region Halfway Homes, Inc.?

The Centers for Medicare & Medicaid Services assigned the 1851455323 to Lake Region Halfway Homes, Inc. on 2006-12-20.

As of what date were the details pertaining to Lake Region Halfway Homes, Inc. last refreshed?

The information related to the Lake Region Halfway Homes, Inc., including its address, specialty, and other relevant details, was last updated on 2009-09-10.

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