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LAKEPLACE RETREAT CENTER INC
NPI 1215005400
Substance Abuse Rehabilitation Facility in Bovey, MN

Active since December 04, 2006
25704 COUNTY ROAD 338, BOVEY, MN 55709(218) 245-1395 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeplace Retreat Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKEPLACE RETREAT CENTER INC (NPI 1215005400) is a healthcare organization registered as a substance abuse rehabilitation facility in Bovey, Minnesota and active in the NPI registry since December 2006. The organization lists Dennis E Medved, President, as its authorized official.

NPPES Registry Identity

NPI1215005400
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLAKEPLACE RETREAT CENTER INC
Location Address25704 COUNTY ROAD 338Bovey, MN 55709
Mailing Address25704 County Road 338Bovey, MN 55709 · (218) 245-1395
Phone(218) 245-1395
Organization SubpartNo
Authorized OfficialDennis E MedvedPresident · (218) 245-1395
Enumeration DateDecember 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1215005400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MN · DHS1040263
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
25704 COUNTY ROAD 338, Bovey, MN 55709
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Other Identifiers 1

Other1040263MN · Lic Number

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA MARIE CONNELLY MA, LADC
Counselor (Addiction (Substance Use Disorder))
25704 COUNTY ROAD 338
BOVEY, MN 55709
Itasca County (218) 245-1395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeplace Retreat Center Inc's NPI number?

The NPI number for Lakeplace Retreat Center Inc is 1215005400. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Lakeplace Retreat Center Inc located?

Lakeplace Retreat Center Inc is located at 25704 County Road 338, Bovey, MN 55709. The listed phone number is (218) 245-1395.

What is Lakeplace Retreat Center Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Lakeplace Retreat Center Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.