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Organization
REM RIVER BLUFFS INC
Active
Organization
REM RIVER BLUFFS INC
Active
Other names
REM River Bluffs Inc Rochester SE
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
1631 19TH AVENUE SE, ROCHESTER, MN 55904
(952) 922-6776
(952) 922-6885
Mailing address
6600 FRANCE AVE S, EDINA, MN 55435-1805
(952) 922-6776
(952) 922-6885
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
8021012RS
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109343600
—
MN
Enumeration date
11/07/2006
Last updated
03/05/2023
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