Organization
DIVINE HOUSE II INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD HILLSTROM (ADMINISTRATOR)
(320) 769-4444
Entity
Organization
Contact information
Practice address
2974 192ND ST, DAWSON, MN 56232
(320) 769-4444
Mailing address
2974 192ND ST, PO BOX 309, DAWSON, MN 56232
(320) 769-4444
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
MN
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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