Organization
HOUSE OF HOPE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARLENE DORIS-MANTHY KREUTZER (EXECUTIVE VICE PRESIDENT, FINANCE)
(507) 385-7600
Entity
Organization
Contact information
Practice address
1429 3RD AVE, MANKATO, MN 56001-2905
(507) 625-4536
(507) 625-4536
Mailing address
PO BOX 291, MANKATO, MN 56002-0291
(507) 385-7600
(507) 720-6929
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
801093-2-CDT
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609952373
NPI # RESIDENTIAL
MN
01
—
265856900
MHCP PROVIDER NUMBER
MN
01
—
8107HO
BC/BS CONTRACT PROV NUM
MN
Enumeration date
10/27/2006
Last updated
08/24/2022
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