Organization
EDGEWOOD VIRGINIA SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON WHETTER (VP FINANCE/BUDGET)
(701) 757-5465
Entity
Organization
Contact information
Practice address
605 17TH ST N, VIRGINIA, MN 55792-2171
(218) 741-7406
(218) 749-3390
Mailing address
322 DEMERS AVE, SUITE 500, GRAND FORKS, ND 58201-4754
(701) 757-5465
(701) 738-2001
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
363095
MN
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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