| Homebase Housing Services Inc | |
|
102 Laurel St Ste 2 Brainerd MN 56401-3586 | |
| (218) 831-8710 | |
| Not Available |
| Full Name | Homebase Housing Services Inc |
|---|---|
| Speciality | Case Management |
| Location | 102 Laurel St Ste 2, Brainerd, Minnesota |
| Authorized Official Name and Position | Ryan Menzel (CEO) |
| Authorized Official Contact | 2188318710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homebase Housing Services Inc 102 Laurel St Ste 2 Brainerd MN 56401-3586 Ph: (218) 831-8710 | Homebase Housing Services Inc 102 Laurel St Ste 2 Brainerd MN 56401-3586 Ph: (218) 831-8710 |
| NPI Number | 1053084475 |
|---|---|
| Provider Enumeration Date | 07/30/2021 |
| Last Update Date | 05/31/2023 |
| Certification Date | 05/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053084475 | NPI | - | NPPES |
| A897932500 | Other | MN | UMPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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