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Organization
NORTHERN ITASCA HOSPITAL DISTRICT
Active
Organization
NORTHERN ITASCA HOSPITAL DISTRICT
Active
Other names
Bigfork Valley Villa Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD DANIEL ODEGAARD (CEO)
(218) 743-3177
Entity
Organization
Contact information
Practice address
258 PINE TREE DRIVE, BIGFORK, MN 56628
(218) 743-3177
(218) 743-3559
Mailing address
258 PINE TREE DRIVE, P.O. BOX 258, BIGFORK, MN 56628
(218) 743-3177
(218) 743-3559
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
332067
MN
Other
Enumeration date
06/19/2006
Last updated
08/22/2020
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