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Organization
RIDGEVIEW
Active
Organization
RIDGEVIEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD GROFF (PRESIDENT)
(952) 888-2923
Entity
Organization
Contact information
Practice address
1009 10TH AVE NE, SAUK RAPIDS, MN 56379-9448
(952) 888-2923
Mailing address
1009 10TH AVE NE, SAUK RAPIDS, MN 56379-9448
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XXX
—
MN
Enumeration date
10/29/2010
Last updated
10/29/2010
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