Organization
RANGE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM ZAHORSKY (CFO)
(218) 254-3347
Entity
Organization
Contact information
Practice address
1001 8TH AVE NW, CHISHOLM, MN 55719-1148
(218) 254-3347
(218) 254-7343
Mailing address
1001 8TH AVE NW, P.O. BOX 629, CHISHOLM, MN 55719-1148
(218) 254-3347
(218) 254-7343
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
802034-3-RS
MN
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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