Organization
REM HEARTLAND INC
Active
Other names
REM Heartland Inc Fairmont Budd
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
111 DOROTHY STREET, FAIRMONT, MN 56031
(952) 922-6776
(952) 922-6885
Mailing address
6600 FRANCE AVE S, EDINA, MN 55435-1805
(952) 922-6776
(952) 922-6885
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
8020763RS
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300845200
—
MN
Enumeration date
11/07/2006
Last updated
03/05/2023
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