VALLEY-LAKE BOY'S HOME, INC.
NPI 1760666903
Residential Treatment Facility, Emotionally Disturbed Children in Breckenridge, MN
- Organization
- Residential Treatment Facility, Emotiona...
About VALLEY-LAKE BOY'S HOME, INC.
This page provides the complete NPI Profile along with additional information for Valley-lake Boy's Home, Inc., a provider established in Breckenridge, Minnesota operating as a Residential Treatment Facility, Emotionally Disturbed Children. The healthcare provider is registered in the NPI registry with number 1760666903 assigned on December 2007. The practitioner's primary taxonomy code is 322D00000X with license number 1036970-1-CRF (MN). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Mr. Mark Allen Engebretson (Executive Director)
- NPI
- 1760666903 Verify this NPI
- Provider Name
- VALLEY-LAKE BOY'S HOME, INC.
- Entity Type
- Organization
- Location Address
- 3850 200TH AVE BRECKENRIDGE, MN 56520
- Location Phone
- (218) 643-4036
- Location Fax
- (218) 643-5226
- Mailing Address
- 3850 200TH AVE BRECKENRIDGE, MN 56520
- Mailing Phone
- (218) 643-4036
- Mailing Fax
- (218) 643-5226
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-24-2007
- Last Update Date
- 12-24-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Emotionally Disturbed Children
- Taxonomy Code
- 322D00000X
- Type
- Residential Treatment Facilities
- License No.
- 1036970-1-CRF
- License State
- MN
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
BRECKENRIDGE, MN 56520
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760666903, enumerated as an "organization" on December 24, 2007.
The provider is located at 3850 200TH AVE BRECKENRIDGE, MN 56520 and the phone number is (218) 643-4036.
Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.
