| Development Homes, Inc. | |
|
1211 10th Ave S Grand Forks ND 58201-4313 | |
| (701) 335-4015 | |
| Not Available |
| Full Name | Development Homes, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1211 10th Ave S, Grand Forks, North Dakota |
| Authorized Official Name and Position | Karen Kay Raymond (ACCOUNTS RECEIVABLE ADMINISTRATOR) |
| Authorized Official Contact | 7013354000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Development Homes, Inc. 3880 S Columbia Rd Grand Forks ND 58201-3523 Ph: (701) 335-4000 | Development Homes, Inc. 1211 10th Ave S Grand Forks ND 58201-4313 Ph: (701) 335-4015 |
| NPI Number | 1336747534 |
|---|---|
| Provider Enumeration Date | 10/12/2020 |
| Last Update Date | 10/12/2020 |
| Certification Date | 10/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336747534 | NPI | - | NPPES |
| 1461734 | Other | ND | HE MMIS PROVIDER NUMBER |
| 1461954 | Other | ND | HE MMIS PROVIDER NUMBER |
| 1461956 | Other | ND | HE MMIS PROVIDER NUMBER |
| 1461953 | Other | ND | HE MMIS PROVIDER NUMBER |
| 1461955 | Other | ND | HE MMIS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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