Organization
RENVILLE COUNTY COMMUNITY RESIDENCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BEVERLY BURMAN (EXECUTIVE DIRECTOR)
(320) 365-3748
Entity
Organization
Contact information
Practice address
831 GROVE AVE, BIRD ISLAND, MN 55310-1174
(320) 365-3748
Mailing address
831 GROVE AVE, P.O.BOX 520, BIRD ISLAND, MN 55310-1174
(320) 365-3748
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
802115
MN
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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