DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FOURTH AVENUE HOMES INC.

Active Organization

FOURTH AVENUE HOMES INC. is a Psychiatric Residential Treatment Facility organization located in SPICER, Minnesota. NPI 1205012507 is currently active in the NPPES registry. Verify at CMS.

Psychiatric Residential Treatment Facility · SPICER, MN

Registration Details

NPI Number
1205012507
Provider Type
Organization
NPI Issued
Jan 16, 2008 (18.606903123733 yrs)
Last Updated
Apr 15, 2008
License
804433 (MN)

Practice Information

Address
140 4TH AVE
SPICER, MN, 562889673
Browse MN providers · Browse ZIP 56288
Phone
3207962905
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.