Our House of Minnesota, Inc. I
NPI #1750467577 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1750467577
- Entity Type
- Organization
- Organization Name
- Our House of Minnesota, Inc. I
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Oct 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1846 DAYTON AVE
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55104-6012
- Phone
- (651) 644-6650
Authorized Official
- Name
- DENNIS HOLMAN
- Title
- ADMINISTRATOR
- Phone
- (651) 646-1104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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