| Donald E. Horton, Llc | |
|
1053 Lovell Ave W Roseville MN 55113-4424 | |
| (651) 646-2829 | |
| Not Available |
| Full Name | Donald E. Horton, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1053 Lovell Ave W, Roseville, Minnesota |
| Authorized Official Name and Position | Donald E. Horton (PRESIDENT/OWNER) |
| Authorized Official Contact | 6516462829 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald E. Horton, Llc 1053 Lovell Ave W Roseville MN 55113-4424 Ph: (651) 646-2829 | Donald E. Horton, Llc 1053 Lovell Ave W Roseville MN 55113-4424 Ph: (651) 646-2829 |
| NPI Number | 1851630222 |
|---|---|
| Provider Enumeration Date | 02/05/2013 |
| Last Update Date | 02/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851630222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 00720 (Minnesota) | Primary |
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