Organization
RICH'S EOT HOMES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE GEORGE KEMPENICH (PROGRAM DIRECTOR)
(218) 346-3960
Entity
Organization
Contact information
Practice address
445 3RD AVE NE, PERHAM, MN 56573-1510
(218) 346-3960
(218) 346-7922
Mailing address
445 3RD AVE NE, PERHAM, MN 56573-1510
(218) 346-3960
(218) 346-7922
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1021007
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021007
MN FOSTER CARE 245-B
MN
Enumeration date
10/11/2006
Last updated
08/22/2020
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