Organization
JOBS WHOLENESS HOUSE OF PROSPERITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN ROSEMAN (CEO)
(651) 276-8688
Entity
Organization
Contact information
Practice address
123 GARNER CIR, MONTROSE, MN 55363-8598
(651) 276-8688
Mailing address
123 GARNER CIR, MONTROSE, MN 55363-8598
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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