Provider Demographics
NPI:1447338074
Name:DIGNITY HOUSE INC
Entity type:Organization
Organization Name:DIGNITY HOUSE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:HAYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-986-2003
Mailing Address - Street 1:PO BOX 465
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN
Mailing Address - State:MN
Mailing Address - Zip Code:56339-0465
Mailing Address - Country:US
Mailing Address - Phone:320-986-2003
Mailing Address - Fax:
Practice Address - Street 1:13231 STATE HWY 55
Practice Address - Street 2:
Practice Address - City:HOFFMAN
Practice Address - State:MN
Practice Address - Zip Code:56339
Practice Address - Country:US
Practice Address - Phone:320-986-2003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1003633-1-AFC385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care