Organization
HOMEWARD BOUND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD R PRIEBE (CEO)
(763) 525-3186
Entity
Organization
Contact information
Practice address
7839 BROOKLYN BLVD, BROOKLYN PARK, MN 55445-2716
(763) 566-7860
(763) 566-1819
Mailing address
13895 INDUSTRIAL PARK BLVD, #100, PLYMOUTH, MN 55441-3700
(763) 525-3186
(763) 525-4084
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
802812
MN
Other
Enumeration date
11/01/2006
Last updated
06/03/2008
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