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Organization
RANGE DEVELOPMENT COMPANY
Active
Organization
RANGE DEVELOPMENT COMPANY
Active
Other names
Chestnut Grove
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY P. SCHROETTER (EXECUTIVE DIRECTOR)
(218) 263-4157
Entity
Organization
Contact information
Practice address
1204 CHESTNUT ST W, VIRGINIA, MN 55792-3445
(218) 749-6846
(218) 749-6846
Mailing address
2229 3RD AVE. E, P.O. BOX 786, HIBBING, MN 55746-3445
(218) 263-4157
(218) 263-8534
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
1010513-1AFC
MN
311500000X
Alzheimer Center (Dementia Center)
1010514-1AFC
MN
311500000X
Alzheimer Center (Dementia Center)
Primary
1022171-1AFC
MN
311500000X
Alzheimer Center (Dementia Center)
1022172-1AFC
MN
Other
Enumeration date
05/19/2009
Last updated
05/20/2009
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