OrganizationActive
Divine House, Inc.
NPI 1720166259 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Willmar, MN
Provider details
- NPI number
- 1720166259
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Authorized official
- Debra Shriver, Owner
- License
- 800666 (MN)
Practice location
328 5th St Sw
Willmar, MN 56201-3200
Phone: (320) 231-2738
Fax: (320) 231-3666
Mailing address
328 5th St Sw
Willmar, MN 56201-3200
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2016-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.