National Provider Identifier Database

REM SOUTHWEST SERVICES INC
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

REM - SOUTHWEST SERVICES INC
585 GRAVEL ROAD
MONTEVIDEO, MN56265
Phone: 952-922-6776
Fax: 952-922-6885
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for REM - SOUTHWEST SERVICES INC

NPI Number 1033294699
Legal business name
LBN
REM - SOUTHWEST SERVICES INC
Authorized official BRETT COHEN - (COO)
Entity Organization
Organization subpart No
Enumeration date 10/25/2006
Last updated 03/05/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 8020913RS
  • MN Medicaid: 108743600

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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