Organization
NORTHERN ITASCA HOSPITAL DISTRICT
Active
Other names
Bigfork Valley Villa Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD DANIEL ODEGAARD (CEO)
(218) 743-3177
Entity
Organization
Contact information
Practice address
258 PINE TREE DRIVE, BIGFORK, MN 56628
(218) 743-3177
(218) 743-3559
Mailing address
258 PINE TREE DRIVE, P.O. BOX 258, BIGFORK, MN 56628
(218) 743-3177
(218) 743-3559
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
332067
MN
Other
Enumeration date
06/19/2006
Last updated
08/22/2020
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