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institution
Divine House Ii Inc.
Intellectual Disabilities Intermediate Care Facility in Willmar, Minnesota
NPI 1528665056

Divine House Ii Inc. is a Intellectual Disabilities Intermediate Care Facility based in Willmar, MN. Divine House Ii Inc. practices in Willmar, MN. The NPI Number for Divine House Ii Inc. is 1528665056 and holds a License No. (Minnesota).

The current practice location address for Divine House Ii Inc. is 1508 15Th St Sw, Willmar, MN and can be reached out via phone at 320-231-2738 and via fax at 320-441-2106.

Location: 1508 15Th St Sw, Willmar, MN, 56201-3585
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528665056
Provider Name
Divine House Ii Inc.
Credential
Provider Entity Type
Organization
Address
1508 15Th St Sw, Willmar, MN, 56201-3585
Phone Number
320-231-2738
Fax Number
320-441-2106
Provider Enumeration Date
10/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1508 15Th St Sw
City
Willmar
State
Minnesota
Zip
56201-3968
Phone Number
320-231-2738
Fax Number
320-441-2106
person
Provider Business Mailing Address Details
Address
1508 15Th St Sw
City
Willmar
State
Minnesota
Zip
56201-3968
Phone Number
320-231-2738
Fax Number
320-441-2106
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mental Illness
Speciality
-
Taxonomy
310500000X
License No.
()
Definition
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(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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