Provider Demographics
NPI:1073543344
Name:RHSC
Entity Type:Organization
Organization Name:RHSC
Other - Org Name:HOVANDER HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-254-9350
Mailing Address - Street 1:NW 3969
Mailing Address - Street 2:PO BOX 1450
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55485-3969
Mailing Address - Country:US
Mailing Address - Phone:651-254-4301
Mailing Address - Fax:651-254-3541
Practice Address - Street 1:1491 SHERBURNE AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104
Practice Address - Country:US
Practice Address - Phone:651-254-4370
Practice Address - Fax:651-254-3541
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RHSC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility