Organization · Type 2 NPI
Divine House, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Willmar, MN
Practice location
328 5th St SW
Willmar, MN 56201-3200
Fax (320) 231-3666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 344820700 (MN) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 800666 (MN) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 754316600 (MN) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 97395 (MN) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
2 other providers at this address
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Willmar
About NPI 1720166259
Divine House, Inc.'s National Provider Identifier is 1720166259, issued on Nov 1, 2006. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Willmar, MN. The record was last updated on Sep 28, 2016.