Provider Demographics
NPI:1982202677
Name:DEVELOPMENT HOMES INC
Entity Type:Organization
Organization Name:DEVELOPMENT HOMES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:RAYMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-335-4000
Mailing Address - Street 1:3880 S COLUMBIA RD
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-3523
Mailing Address - Country:US
Mailing Address - Phone:701-335-4000
Mailing Address - Fax:701-335-4004
Practice Address - Street 1:3880 S COLUMBIA RD
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-3523
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:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1461734OtherHE MMIS PROVIDER NUMBER