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Organization

HOME AND COMMUNITY OPTIONS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DENNIS JAMES THEEDE (EXECUTIVE DIRECTOR)
(507) 452-1021
Entity
Organization

Contact information

Practice address
66 E 3RD ST, WINONA, MN 55987-3478
(507) 452-1021
(507) 452-1504
Mailing address
66 E 3RD ST, WINONA, MN 55987-3478
(507) 452-1021
(507) 452-1504

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
APPLIED FOR
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202D3HO
PCA BLUE PLUS
MN
01
657T9HO
MENTAL HEALTH BLUE CROSS
MN
Enumeration date
02/14/2007
Last updated
08/22/2020
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