1720166259 DIVINE HOUSE, INC.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Active
Basic Information
- Organization Name
- DIVINE HOUSE, INC.
- Enumeration Date
- November 1, 2006
- Last Update
- September 28, 2016
- Authorized Official
- DEBRA JOANNE SHRIVER
OWNER
Phone: (320) 231-2738
Practice Location
- Address
- 328 5TH ST SW
WILLMAR, MN 562013200 - Phone
- (320) 231-2738
- Fax
- (320) 231-3666
Mailing Address
- Address
- 328 5TH ST SW
WILLMAR, MN 562013200 - Phone
- (320) 231-2738
- Fax
- (320) 231-3666
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 800666 | MN | No |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 754316600 | MN | No |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 97395 | MN | No |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 344820700 | MN | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202D2DI | 01 | MN | BCBS ID |
| 030701087 | 01 | MN | PRIME WEST |
| 344820700 | 05 | MN | N/A |
| 754316600 | 01 | MN | PCA NUMBER |
Frequently Asked Questions
What is DIVINE HOUSE, INC.'s NPI number?
DIVINE HOUSE, INC.'s NPI number is 1720166259.
Which doctor has NPI number 1720166259?
The doctor with NPI number 1720166259 is DIVINE HOUSE, INC..
What is DIVINE HOUSE, INC.'s practice address?
DIVINE HOUSE, INC.'s practice address is 328 5TH ST SW, WILLMAR, MN, 562013200.
Which doctor practices at 328 5TH ST SW, WILLMAR, MN, 562013200?
DIVINE HOUSE, INC. practices at 328 5TH ST SW, WILLMAR, MN, 562013200.
What is DIVINE HOUSE, INC.'s phone number?
DIVINE HOUSE, INC.'s phone number is (320) 231-2738.
Who is (320) 231-2738?
(320) 231-2738 is the phone number for DIVINE HOUSE, INC..
What is DIVINE HOUSE, INC.'s specialty?
DIVINE HOUSE, INC.'s specialty is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
What type of doctor is DIVINE HOUSE, INC.?
DIVINE HOUSE, INC. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
Is DIVINE HOUSE, INC. a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, DIVINE HOUSE, INC. is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is DIVINE HOUSE, INC. still practicing?
Yes, DIVINE HOUSE, INC. is currently practicing.
Is DIVINE HOUSE, INC. accepting new patients?
DIVINE HOUSE, INC. may be accepting new patients. Please call their office at (320) 231-2738 to inquire about availability.
Is NPI 1720166259 still active?
Yes, NPI 1720166259 is currently active.
Where does DIVINE HOUSE, INC. practice?
DIVINE HOUSE, INC. practices in WILLMAR, MN.