Healthcare Provider Details

I. General information

NPI: 1083062905
Provider Name (Legal Business Name): RISON HOMES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2016
Last Update Date: 06/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 HOFFMAN DR NW
OWATONNA MN
55060-1006
US

IV. Provider business mailing address

314 CENTRAL AVE N P.O.BOX 774
FARIBAULT MN
55021-5215
US

V. Phone/Fax

Practice location:
  • Phone: 507-451-0832
  • Fax: 507-451-0832
Mailing address:
  • Phone: 507-332-0547
  • Fax: 507-332-2335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License NumberFBL-4171-36282
License Number StateMN

VIII. Authorized Official

Name: DEBORAH ANN SONNEK
Title or Position: OWNER/CEO
Credential:
Phone: 507-332-0547