# RENVILLE COUNTY COMMUNITY RESIDENCE, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215150867
- **Authorized official:** MISS BEVERLY BURMAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (320) 365-3748

## Contact information

- **Practice address:** 831 GROVE AVE, BIRD ISLAND, MN 55310-1174
- **Practice address phone:** (320) 365-3748
- **Mailing address:** 831 GROVE AVE, P.O.BOX 520, BIRD ISLAND, MN 55310-1174
- **Mailing address phone:** (320) 365-3748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 802115 | MN | Yes |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 08/22/2020