Organization
DANIEL R. VANDEVENTER, INC.
Active
Other names
Hometown Hearing Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL VANDEVENTER HIS (PRESIDENT)
(218) 681-1193
Entity
Organization
Contact information
Practice address
1305 DALE ST, THIEF RIVER FALLS, MN 56701-3304
(218) 681-1193
Mailing address
1305 DALE ST, THIEF RIVER FALLS, MN 56701-3304
(218) 681-1193
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
—
—
332S00000X
Hearing Aid Equipment
Primary
HID2605
MN
Other
Enumeration date
01/29/2016
Last updated
05/23/2024
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