Organization
SOUTHVIEW ON MAIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY MAKARRALL (OWNER)
(507) 752-7467
Entity
Organization
Contact information
Practice address
445 MAIN STREET, REVERE, MN 56166-0127
(507) 752-7467
Mailing address
445 MAIN STREET, REVERE, MN 56166
(507) 752-7467
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
20895
MN
Other
Enumeration date
10/12/2006
Last updated
07/21/2022
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