Provider Demographics
NPI:1437228236
Name:FILLMORE COUNTY SOCIAL SERVICES
Entity type:Organization
Organization Name:FILLMORE COUNTY SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:L
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:LISCW
Authorized Official - Phone:507-765-2175
Mailing Address - Street 1:902 HOUSTON ST NW
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PRESTON
Mailing Address - State:MN
Mailing Address - Zip Code:55965-1080
Mailing Address - Country:US
Mailing Address - Phone:507-765-2175
Mailing Address - Fax:507-765-3895
Practice Address - Street 1:902 HOUSTON ST NW
Practice Address - Street 2:SUITE 1
Practice Address - City:PRESTON
Practice Address - State:MN
Practice Address - Zip Code:55965-1080
Practice Address - Country:US
Practice Address - Phone:507-765-2175
Practice Address - Fax:507-765-3895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management