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Organization

RIVER VALLEY HOMES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA FRANCES BLANESS LPN (ADMINISTRATOR)
(507) 726-6239
Entity
Organization

Contact information

Practice address
20176 528TH AVE, LAKE CRYSTAL, MN 56055-2286
(507) 726-6239
Mailing address
20176 528TH AVE, LAKE CRYSTAL, MN 56055-2286
(507) 726-6239

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1015968-1-WS
MN
253J00000X
Foster Care Agency
Primary
1015968-1-WS
MN

Other

Enumeration date
05/21/2008
Last updated
05/21/2008
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