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Organization

RANGE DEVELOPMENT COMPANY

Active
Other names
Chestnut Grove
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDY P. SCHROETTER (EXECUTIVE DIRECTOR)
(218) 263-4157
Entity
Organization

Contact information

Practice address
1204 CHESTNUT ST W, VIRGINIA, MN 55792-3445
(218) 749-6846
(218) 749-6846
Mailing address
2229 3RD AVE. E, P.O. BOX 786, HIBBING, MN 55746-3445
(218) 263-4157
(218) 263-8534

Taxonomy

Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
1010513-1AFC
MN
311500000X
Alzheimer Center (Dementia Center)
1010514-1AFC
MN
311500000X
Alzheimer Center (Dementia Center)
Primary
1022171-1AFC
MN
311500000X
Alzheimer Center (Dementia Center)
1022172-1AFC
MN

Other

Enumeration date
05/19/2009
Last updated
05/20/2009
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