National Provider Identifier Database

DIVINE HOUSE II 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

DIVINE HOUSE II INC.
1508 15TH ST SW
WILLMAR, MN56201-3968
Phone: 320-231-2738
Fax: 320-441-2106
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X
Intermediate Care, Mental Illness 310500000X

* Indicates primary specialty

NPI Profile & details for DIVINE HOUSE II INC.

NPI Number 1528665056
Legal business name
LBN
DIVINE HOUSE II INC.
Authorized official DEBRA SHRIVER - (OWNER/CEO)
Entity Organization
Organization subpart No
Enumeration date 10/07/2020
Last updated 10/07/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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