Provider Demographics
NPI:1003178500
Name:RURAL ENTERPRISE FOR ACCEPTABLE LIVING, INC.
Entity Type:Organization
Organization Name:RURAL ENTERPRISE FOR ACCEPTABLE LIVING, INC.
Other - Org Name:SOUTHWESTERN CENTER FOR INDEPENDENT LIVING (SWCIL)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:THOVSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-532-2221
Mailing Address - Street 1:109 S 5TH ST STE 700
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MN
Mailing Address - Zip Code:56258-1298
Mailing Address - Country:US
Mailing Address - Phone:507-532-2221
Mailing Address - Fax:507-532-2222
Practice Address - Street 1:109 S 5TH ST STE 700
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258-1298
Practice Address - Country:US
Practice Address - Phone:507-532-2221
Practice Address - Fax:507-532-2222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-11
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services