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Fourth Avenue Homes Inc.
Mental Illness Community Based Residential Treatment Facility in Spicer, Minnesota
NPI 1205012507

Fourth Avenue Homes Inc. is a Mental Illness Community Based Residential Treatment Facility based in Spicer, MN. Fourth Avenue Homes Inc. practices in Spicer, MN. The NPI Number for Fourth Avenue Homes Inc. is 1205012507 and holds a License No. 804433 (Minnesota).

The current practice location address for Fourth Avenue Homes Inc. is 140 4Th Ave, Spicer, MN and can be reached out via phone at 320-796-2905.

Location: 140 4Th Ave, Spicer, MN, 56288-9673
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205012507
Provider Name
Fourth Avenue Homes Inc.
Credential
Provider Entity Type
Organization
Address
140 4Th Ave, Spicer, MN, 56288-9673
Phone Number
320-796-2905
Fax Number
Provider Enumeration Date
01/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
140 4Th Ave
City
Spicer
State
Minnesota
Zip
56288-9673
Phone Number
320-796-2905
Fax Number
person
Provider Business Mailing Address Details
Address
140 4Th Ave
City
Spicer
State
Minnesota
Zip
56288-9673
Phone Number
320-796-2905
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
804433 (Minnesota)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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