Organization
HABILITATIVE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVIN NELSON COO (CHIEF OPERATING OFFICER)
(507) 662-5236
Entity
Organization
Contact information
Practice address
220 MILWAUKEE ST STE 2, LAKEFIELD, MN 56150-9495
(507) 662-5236
(507) 662-5235
Mailing address
220 MILWAUKEE ST STE 2, LAKEFIELD, MN 56150-9495
(507) 662-5236
(507) 662-5235
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
333523
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114419
UCARE PCA
MN
01
—
777G1HA
BLUE CROSS BLUE SHIELD MN
MN
Enumeration date
05/10/2007
Last updated
08/22/2020
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