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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.

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Contact Information

DIVINE HOUSE II INC.
1508 15TH ST SW
WILLMAR, MN  56201-3968
 Phone: 320-231-2738
 Fax: 320-441-2106
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

 315P00000X
 

Intermediate Care, Mental Illness

 310500000X
Indicates primary specialty

NPI Profile & details for DIVINE HOUSE II INC.

NPI # 1528665056
LBN Legal business name DIVINE HOUSE II INC.
Authorized official DEBRA SHRIVER - (OWNER/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/07/2020
Last updated 10/07/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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