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Organization
LAKES HOMES AND PROGRAM DEVELOPMENT, INC.
Active
Organization
LAKES HOMES AND PROGRAM DEVELOPMENT, INC.
Active
Other names
West Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS R REIFFENBERGER (EXECUTIVE ADMINISTRATOR)
(218) 847-2785
Entity
Organization
Contact information
Practice address
1118 WEST AVE, DETROIT LAKES, MN 56501-3210
(218) 847-5642
(218) 847-7176
Mailing address
PO BOX 1355, DETROIT LAKES, MN 56502-1355
(218) 847-5642
(218) 847-7176
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
338509
MN
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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