Organization
ELDERCIRCLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE BYMARK (EXECUTIVE DIRECTOR)
(218) 999-9233
Entity
Organization
Contact information
Practice address
400 RIVER RD, GRAND RAPIDS, MN 55744-3784
(218) 999-9233
Mailing address
400 RIVER RD STE 1, GRAND RAPIDS, MN 55744-3784
(218) 999-9233
(218) 999-7543
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/23/2019
Last updated
02/16/2023
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