Organization
LAKEVIEW RANCH INC.
Active
Parent organization
LAKEVIEW RANCH INC.
Other names
Lakeview Ranch Dassel
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKEVIEW RANCH INC.
Authorized official
MS. JUDY A BERRY (CEO)
(320) 275-4027
Entity
Organization
Contact information
Practice address
22851 MN HIGHWAY 15, DASSEL, MN 55325-3568
(320) 275-5515
(320) 275-5516
Mailing address
69531 213TH ST, DARWIN, MN 55324-6602
(320) 275-4027
(320) 275-4028
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
342097
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050513016
—
MN
Enumeration date
11/30/2009
Last updated
11/30/2009
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