Organization
OPPORTUNITY MANOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGAN STOMMES (DIRECTOR OF OPERATIONS)
(320) 240-1900
Entity
Organization
Contact information
Practice address
1311 13TH AVE SE, SAINT CLOUD, MN 56304-1913
(320) 255-0135
(320) 240-8527
Mailing address
1908 KRUCHTEN CT S, PO BOX 280, SARTELL, MN 56377-4645
(320) 240-1900
(320) 240-8527
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
801815-3-RS
MN
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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