Our House of Minnesota, Inc.

NPI #1568563898 in Saint Paul, Minnesota

Provider Information

NPI Number
1568563898
Entity Type
Organization
Organization Name
Our House of Minnesota, Inc.
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Sep 26, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1846 PORTLAND AVE
ZIP Code
55104-6062
Phone
(651) 646-1104

Authorized Official

Name
DENNIS HOLMAN
Title
ADMINISTRATOR
Phone
(651) 646-1104

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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