Organization
HOPE HOUSE OF ITASCA COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN LYNN MARCHEL (EXECUTIVE DIRECTOR)
(218) 327-9944
Entity
Organization
Contact information
Practice address
2002 CROMELL DR, GRAND RAPIDS, MN 55744-3571
(218) 326-1443
(218) 326-4390
Mailing address
2002 CROMELL DR, GRAND RAPIDS, MN 55744-3571
(218) 326-1443
(218) 326-4390
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
801078
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
798555000
—
MN
Enumeration date
09/20/2006
Last updated
03/30/2021
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