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Organization

SPECIALIZED VOCATIONAL SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY BOURQUIN (ADMINISTATION COORDINATOR)
(507) 376-3550
Entity
Organization

Contact information

Practice address
320 10TH ST, WORTHINGTON, MN 56187-2316
(507) 376-3550
(507) 376-6412
Mailing address
320 10TH ST, P.O. BOX 451, WORTHINGTON, MN 56187-2316
(507) 376-3550
(507) 376-6412

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
1021018-1-WS
MN
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1021018-1-WS
MN

Other

Enumeration date
07/02/2006
Last updated
09/11/2025
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