OrganizationActive
Lakes Homes and Program Development, Inc.
NPI 1922285576 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Detroit Lakes, MN
Provider details
- NPI number
- 1922285576
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Thomas Reiffenberger, Executive Administrator(218) 847-2785
- License
- 338509 (MN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 338509 (MN)
Residential Treatment Facilities
Practice location
1118 West Ave
Detroit Lakes, MN 56501-3210
Phone: (218) 847-5642
Fax: (218) 847-7176
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1355
Detroit Lakes, MN 56502-1355
Other names (DBA / former)
- Doing business as
- West Home
Registry dates
- Enumerated
- 2008-01-25
- Last updated
- 2008-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.