Provider Demographics
NPI:1013138700
Name:REVERENCE FOR LIFE AND CONCERN FOR PEOPLE INC
Entity Type:Organization
Organization Name:REVERENCE FOR LIFE AND CONCERN FOR PEOPLE INC
Other - Org Name:PROJECT TURNABOUT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR-CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHIKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-564-4911
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:GRANITE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56241-0116
Mailing Address - Country:US
Mailing Address - Phone:320-564-4911
Mailing Address - Fax:320-564-3122
Practice Address - Street 1:130 WILLMAR AVE SE
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-3484
Practice Address - Country:US
Practice Address - Phone:320-214-7744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1033404261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN116018OtherUCARE
MN2U84PROtherBCBS OP
MN1045707OtherPREFERRED ONE
MN331223OtherVALU OPTIONS
MN497418000OtherMHCP WILLMAR
MN020506012OtherPRIMEWEST
MN5065657OtherMEDICA-UBH