Provider Demographics
NPI:1821389214
Name:HORIZON HOMES, INC.
Entity Type:Organization
Organization Name:HORIZON HOMES, INC.
Other - Org Name:SCCC MOBILE CRISIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE DEVELOPMENT DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-344-3364
Mailing Address - Street 1:306 BYRON ST
Mailing Address - Street 2:P.O. BOX 3032
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-3846
Mailing Address - Country:US
Mailing Address - Phone:507-344-3364
Mailing Address - Fax:507-344-3370
Practice Address - Street 1:521 PFAU ST
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-7032
Practice Address - Country:US
Practice Address - Phone:507-344-0621
Practice Address - Fax:507-344-2153
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HORIZON HOMES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1057896251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health