Organization
NORTHWOODS VILLA INC.
Active
Parent organization
NORTHWOODS VILLA INC.
Other names
Northwoods Villa Inc., Northwoods Villa Hillside
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWOODS VILLA INC.
Authorized official
HILLARY ALTENHOFEN RN/LALD (OWNER)
(218) 244-8731
Entity
Organization
Contact information
Practice address
1801 4TH AVE E, INTERNATIONAL FALLS, MN 56649-3126
(218) 324-6170
Mailing address
1801 4TH AVE E, INTERNATIONAL FALLS, MN 56649-3126
(218) 324-6170
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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