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Organization
FOUNDATION FOR RURAL HEALTH CARE
Active
Organization
FOUNDATION FOR RURAL HEALTH CARE
Active
Other names
Evansville Residence
Organization subpart
No
Provider details
NPI number
Authorized official
CORAL BLAZE RN,C RAC-C, CLNC (CEO)
(952) 435-7371
Entity
Organization
Contact information
Practice address
651 STATE ST NW, EVANSVILLE, MN 56326-8183
(218) 948-2346
Mailing address
651 STATE ST NW, EVANSVILLE, MN 56326-8183
(218) 948-2346
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
333275
MN
Other
Enumeration date
09/05/2006
Last updated
08/22/2020
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