Our Homes South, INC

NPI #1184705634 in Medford, Minnesota

Provider Information

NPI Number: 1184705634
Entity Type: Organization
Organization Name: Our Homes South, INC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 18, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 113 NORTH MAIN STREET
City: Medford
State: Minnesota
ZIP Code: 55049-0119
Phone: (507) 455-2114

Authorized Official

Name: MR. DENNIS KLAUS BURGESS
Title: CHIEF EXECUTIVE OFFICER
Phone: (507) 455-2114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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