Provider Demographics
NPI:1073843603
Name:HOUSTON COUNTY HUMAN SERVICES
Entity Type:Organization
Organization Name:HOUSTON COUNTY HUMAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:WILMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-725-5811
Mailing Address - Street 1:304 S MARSHALL ST
Mailing Address - Street 2:ROOM 104
Mailing Address - City:CALEDONIA
Mailing Address - State:MN
Mailing Address - Zip Code:55921-1389
Mailing Address - Country:US
Mailing Address - Phone:507-725-5811
Mailing Address - Fax:
Practice Address - Street 1:304 S MARSHALL ST
Practice Address - Street 2:ROOM 104
Practice Address - City:CALEDONIA
Practice Address - State:MN
Practice Address - Zip Code:55921-1389
Practice Address - Country:US
Practice Address - Phone:507-725-5811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-04
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare