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Organization
ALLENDALE HOUSE
Active
Organization
ALLENDALE HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE A OMEARA (CFO)
(507) 288-7195
Entity
Organization
Contact information
Practice address
3108 HIGHWAY 52 N, ROCHESTER, MN 55901-1916
(507) 288-7195
Mailing address
3108 HIGHWAY 52 N, ROCHESTER, MN 55901-1916
(507) 288-7195
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
808655-2-RS
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287543800
—
MN
Enumeration date
05/09/2008
Last updated
05/09/2008
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