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NPI 1013946714

NPI 1013946714 : CARE FORCE HOMES INC. : MILACA, MN

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General NPI Number Information
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    NPI Number           |    1013946714
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARE FORCE HOMES INC. 
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Dates
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    Enumeration Date     |    07/03/2006
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    Last Update Date     |    03/26/2025
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Provider Practice Location Address
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    Address Line         |    11651 180TH ST 
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    City                 |    MILACA
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    State                |    MN
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    Zip                  |    56353-3359
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    Country              |    US
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    Telephone            |    320-470-9605
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    Fax                  |    320-233-4141
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Provider Business Mailing Address
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    Address Line         |    PO BOX 393 
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    City                 |    MILACA
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    State                |    MN
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    Zip                  |    56353-0393
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    Country              |    US
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    Telephone            |    320-982-0404
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    Fax                  |    320-233-4141
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Authorized Official
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    Title or Position    |    PRESIDENT & CEO
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    Name                 |     JONAH LUKE WALZ 
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    Credential           |    
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    Telephone            |    320-982-0404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    804637
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    1040170
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    License Number State |    MN
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Taxonomy #3
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    830965
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    License Number State |    MN
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