Lakeview Ranch, INC.
Community Based Residential Treatment Facility, Mental Illness in Darwin, MN. Organization (NPI-2).
NPI number1235210568
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1235210568
- Entity type
- Organization (NPI-2)
- Legal business name
- Lakeview Ranch, INC.
- Organization subpart
- No
- Enumeration date
- Oct 17, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320800000X | Community Based Residential Treatment Facility, Mental Illness | FBL001772920487 | MN | Yes |
Practice location
69531 213th StDarwin, MN 55324-6602
Phone 320-275-4027 · Fax 320-275-4028
Mailing address
69531 213th StDarwin, MN 55324-6602
Phone 320-275-4027 · Fax 320-275-4028
Authorized official
Judy A Berry
Ceo
3202754027
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