Organization
NORTH HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZETTE MALLUM (QUALITY ASSURANCE DIRECTOR)
(218) 322-4132
Entity
Organization
Contact information
Practice address
210 BELTRAMI AVE NW, BEMIDJI, MN 56601-4008
(218) 751-0282
(218) 751-0870
Mailing address
1880 RIVER RD, GRAND RAPIDS, MN 55744-4085
(218) 327-3000
(218) 327-1871
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1062454-1-RH
MN
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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