Organization
STILLE HAVN HUS INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES H ROGEN (PRESIDENT)
(218) 547-5920
Entity
Organization
Contact information
Practice address
170 WALKER INDUSTRIES BOULEVARD, WALKER, MN 56484-0530
(218) 547-5920
Mailing address
PO BOX 530, WALKER, MN 56484-0530
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
1032839-1-AFC
MN
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1032840-1-AFC
MN
320800000X
Mental Illness Community Based Residential Treatment Facility
1032841-1-AFC
MN
320800000X
Mental Illness Community Based Residential Treatment Facility
1032842-1-AFC
MN
Other
Enumeration date
09/10/2007
Last updated
10/27/2007
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