Organization
EDGEWOOD VIRGINIA I SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE HYSJULIEN (CEO)
(701) 738-2000
Entity
Organization
Contact information
Practice address
705 17TH ST N, VIRGINIA, MN 55792-2176
(701) 738-2000
(701) 738-2001
Mailing address
2850 24TH AVE S, SUITE 201, GRAND FORKS, ND 58201-5831
(701) 738-2000
(701) 738-2001
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
338389
MN
310400000X
Assisted Living Facility
338401
MN
311500000X
Alzheimer Center (Dementia Center)
338390
MN
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us