Organization
HILLCREST CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALISSA STAHNKE (EXECUTIVE DIRECTOR)
(507) 824-2091
Entity
Organization
Contact information
Practice address
400 HILLCREST AVE, WANAMINGO, MN 55983-1464
(507) 824-2091
(507) 824-2249
Mailing address
400 HILLCREST AVE, WANAMINGO, MN 55983-1464
(507) 824-2091
(507) 824-2249
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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