Provider Demographics
NPI:1730274986
Name:RICE COUNTY ACTIVITY CENTER
Entity type:Organization
Organization Name:RICE COUNTY ACTIVITY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-334-2231
Mailing Address - Street 1:21 10TH ST NE
Mailing Address - Street 2:
Mailing Address - City:FARIBAULT
Mailing Address - State:MN
Mailing Address - Zip Code:55021-3807
Mailing Address - Country:US
Mailing Address - Phone:507-334-2231
Mailing Address - Fax:507-334-6147
Practice Address - Street 1:21 10TH ST NE
Practice Address - Street 2:
Practice Address - City:FARIBAULT
Practice Address - State:MN
Practice Address - Zip Code:55021-3807
Practice Address - Country:US
Practice Address - Phone:507-334-2231
Practice Address - Fax:507-334-6147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN802133-1-DTH251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services