Organization Name: | MEADOW CREEK LLC |
NPI Number: | 1033233788 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAUL LINDEMAN (DIRECTOR REVENUE CYCLE MGMT) |
Mailing Address: | 17305 Meadow Creek Lane Pine City |
State: | MN US |
Postal Code: | 55063 |
Phone Number: | 7634444838 |
Fax Number: | 7634446007 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 09/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | 804733 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |