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Organization

HABILITATIVE SERVICE, INC.

Active
Other names
Habilitative Services, Inc. PCA
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DEVIN NELSON (EXECUTIVE DIRECTOR)
(952) 922-6776
Entity
Organization

Contact information

Practice address
220 MILWAUKEE ST STE 2, LAKEFIELD, MN 56150-9495
(952) 922-6776
(952) 922-6885
Mailing address
6600 FRANCE AVE S STE 500, EDINA, MN 55435-1878
(952) 563-2207
(952) 922-6885

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
10/19/2017
Last updated
10/19/2017
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