National Provider Identifier Database

LAKEPLACE RETREAT CENTER INC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

LAKEPLACE RETREAT CENTER INC
25704 COUNTY ROAD 338
BOVEY, MN55709
Phone: 218-245-1395
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for LAKEPLACE RETREAT CENTER INC

NPI Number 1215005400
Legal business name
LBN
LAKEPLACE RETREAT CENTER INC
Authorized official DENNIS MEDVED - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/04/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: DHS1040263
  • MN Other: 1040263 LIC NUMBER

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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