Provider Demographics
NPI:1073385571
Name:DEVELOPMENT HOMES, INC.
Entity Type:Organization
Organization Name:DEVELOPMENT HOMES, INC.
Other - Org Name:DEVELOPMENT HOUSE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:KAYE
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:701-335-4000
Mailing Address - Street 1:3880 SOUTH COLUMBIA ROAD
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201
Mailing Address - Country:US
Mailing Address - Phone:701-335-4000
Mailing Address - Fax:701-335-4004
Practice Address - Street 1:3880 SOUTH COLUMBIA ROAD
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201
Practice Address - Country:US
Practice Address - Phone:701-335-4000
Practice Address - Fax:701-335-4004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-27
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care