FATHERS RISE TOGETHER NPI 1053252387

NPI Information

  • NPI: 1053252387
  • Provider Name: FATHERS RISE TOGETHER
  • Classification: Clinic/Center - 261QR0400X
  • Specialization: Rehabilitation
  • Entity Type: Organization
  • Address: 2024 W 3RD ST
    DULUTH, MN
    ZIP 55806
  • Phone: (218) 390-9204

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NPI Details

FATHERS RISE TOGETHER is a rehabilitation clinic center in Duluth, MN. FATHERS RISE TOGETHER NPI is 1053252387. The provider is registered as an organization entity type.

The provider's business location address is:

2024 W 3RD ST
DULUTH, MN
ZIP 55806-053
Phone: (218) 390-9204

The provider's authorized official is Chaquana Mcentyre .
The authorized official title is Founder and has the following contact phone number (218) 461-1722.

The enumeration date for this NPI number is 4/2/2026 and was last updated on 4/2/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1177F00000XLodgingNo
2251B00000XCase ManagementNo
3261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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