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Transformation House, Inc.
Adult Health Nurse Practitioner in Anoka, Minnesota
NPI 1114143989

Transformation House, Inc. is an Adult Health Nurse Practitioner based in Anoka, MN and is specialized in Adult Health. Transformation House, Inc. practices in Anoka, MN. The NPI Number for Transformation House, Inc. is 1114143989 and holds a License No. 804982-1-CDT (Minnesota).

The current practice location address for Transformation House, Inc. is 2532 N Ferry St, Anoka, MN and can be reached out via phone at 763-421-4665. You can also correspond with Transformation House, Inc. through the mailing address at 1410 S FERRY RD, ANOKA, MN - 55303-2164 (mailing address contact number: 763-427-7155).

Location: 2532 N Ferry St, Anoka, MN, 55303-2164
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114143989
Provider Name
Transformation House, Inc.
Credential
Provider Entity Type
Organization
Address
2532 N Ferry St, Anoka, MN, 55303-2164
Phone Number
763-421-4665
Fax Number
Provider Enumeration Date
04/18/2007
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
300357400 01 MN PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
2532 N Ferry St
City
Anoka
State
Minnesota
Zip
55303-1653
Phone Number
763-421-4665
Fax Number
person
Provider Business Mailing Address Details
Address
2532 N Ferry St
City
Anoka
State
Minnesota
Zip
55303-1653
Phone Number
763-421-4665
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
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Definition
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
804982-1-CDT (Minnesota)
Definition
Definition to come...
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