Provider Demographics
NPI:1427127620
Name:DAKOTA COUNTY
Entity type:Organization
Organization Name:DAKOTA COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER, FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-438-4363
Mailing Address - Street 1:1590 HIGHWAY 55
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:MN
Mailing Address - Zip Code:55033-2343
Mailing Address - Country:US
Mailing Address - Phone:651-438-4508
Mailing Address - Fax:651-438-4603
Practice Address - Street 1:1 MENDOTA RD W
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-4764
Practice Address - Country:US
Practice Address - Phone:651-438-4508
Practice Address - Fax:651-438-4603
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DAKOTA COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-06
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health