Organization
JOHN E HERMAN HOME AND TREATMENT FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FRYE MD (PRESIDENT)
(507) 255-7164
Entity
Organization
Contact information
Practice address
351 14TH AVE SW, ROCHESTER, MN 55902
(507) 422-0480
Mailing address
351 14TH AVE SW, ROCHESTER, MN 55902
(507) 422-0480
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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