Provider Demographics
NPI:1679619787
Name:RESIDENTIAL SERVICES OF NE MN INC.
Entity Type:Organization
Organization Name:RESIDENTIAL SERVICES OF NE MN INC.
Other - Org Name:RSI
Other - Org Type:Other Name
Authorized Official - Title/Position:FINANCIAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TUYET
Authorized Official - Middle Name:
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-727-2696
Mailing Address - Street 1:PO BOX 3008
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55803-3008
Mailing Address - Country:US
Mailing Address - Phone:218-727-2696
Mailing Address - Fax:218-727-2893
Practice Address - Street 1:1309 RICE LAKE RD
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55811-2741
Practice Address - Country:US
Practice Address - Phone:218-727-2696
Practice Address - Fax:218-727-2893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty