Organization
JD HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA D SCHOTT (PRESIDENT)
(208) 277-4435
Entity
Organization
Contact information
Practice address
4896 52ND ST SE, SAINT CLOUD, MN 56304-9520
(208) 277-4435
Mailing address
PO BOX 1815, SAINT CLOUD, MN 56302-1815
(208) 277-4435
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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