Organization · Type 2 NPI
Lakes Homes and Program Development, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Detroit Lakes, MN
Practice location
1118 West Ave
Detroit Lakes, MN 56501-3210
Fax (218) 847-7176
Mailing address
PO Box 1355
Detroit Lakes, MN 56502-1355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | 338509 (MN) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1922285576
Lakes Homes and Program Development, Inc.'s National Provider Identifier is 1922285576, issued on Jan 25, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Detroit Lakes, MN. The record was last updated on Jan 25, 2008.