Provider Demographics
NPI:1801151758
Name:HOWRY RESIDENTIAL SERVICE
Entity type:Organization
Organization Name:HOWRY RESIDENTIAL SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROHDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-395-5116
Mailing Address - Street 1:1150 CENTRE POINTE CURV
Mailing Address - Street 2:
Mailing Address - City:MENDOTA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55120-1280
Mailing Address - Country:US
Mailing Address - Phone:651-917-9111
Mailing Address - Fax:
Practice Address - Street 1:1150 CENTRE POINTE CURV
Practice Address - Street 2:
Practice Address - City:MENDOTA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55120-1280
Practice Address - Country:US
Practice Address - Phone:651-917-9111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-06
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNA097725000253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency