Organization
HOPE HOUSE OF ITASCA COUNTY, INC.
Active
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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