Lakeplace Retreat Center Inc

NPI 1215005400 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1215005400
Enumeration Date 12/04/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DENNIS E DENNIS
Position PRESIDENT
Phone (218) 245-1395
Fax
Practice Location
25704 COUNTY ROAD 338
BOVEY MN, 55709, US
Phone (218) 245-1395
Fax
Business Location
25704 COUNTY ROAD 338
BOVEY MN, 55709, US
Phone (218) 245-1395
Fax
Toxanomy
Taxonomy Code 324500000X
License State Minnesota
License Number DHS1040263
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According to our database, Lakeplace Retreat Center Inc NPI is 1215005400, taxonomy code is 324500000X and license number is DHS1040263, license state is located at Minnesota. Lakeplace Retreat Center Inc physically located at 25704 County Road 338, Bovey MN, 55709. NPI Number 1033115704 has the healthcare provider type.

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1215005400 NPI number is provided on an as is basis without warranty of any kind. 1215005400 is maintained by the National Plan & Provider Enumeration System. The contents of Lakeplace Retreat Center Inc are for informational purposes only.