Organization
RIVER OF LIFE REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA SORENSEN (OWNER)
(218) 387-9185
Entity
Organization
Contact information
Practice address
44 SCOTTS BLF, GRAND MARAIS, MN 55604-2197
(218) 387-9185
Mailing address
44 SCOTTS BLF, GRAND MARAIS, MN 55604-2197
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
101611
MN
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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