NPI 1750467577

Our House of Minnesota, INC. I

Organisation Intellectual Disabilities Intermediate Care Facility Saint Paul, MN

Practice location

Address: 1846 Dayton Ave, Saint Paul, MN 55104-6012
Phone: (651) 644-6650
Fax: (651) 644-6650
Mailing address: 1846 Portland Ave, Saint Paul, MN 55104-6062

Authorised official

Name: Dennis Holman
Title: Administrator
Phone: (651) 646-1104

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 801828-1-RS (MN)

Other Intermediate Care Facility, Intellectual Disabilities providers in Minnesota →

Registry record

NPI: 1750467577
Entity type: Organization
NPI issued: 27 Oct 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.