Healthcare Provider Details

I. General information

NPI: 1467570572
Provider Name (Legal Business Name): PEOPLE INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 09/08/2022
Certification Date: 09/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 CLIFTON AVE
MINNEAPOLIS MN
55403-3467
US

IV. Provider business mailing address

3000 AMES CROSSING RD STE 600
EAGAN MN
55121-2519
US

V. Phone/Fax

Practice location:
  • Phone: 612-870-3787
  • Fax: 612-870-3789
Mailing address:
  • Phone: 651-774-0011
  • Fax: 651-774-0606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number802662
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. JILL A WIEDEMANN-WEST
Title or Position: CEO
Credential: M.A.
Phone: 651-774-0011