Organization
RIVERFRONT MANOR
Active
Parent organization
PELICAN VALLEY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
PELICAN VALLEY HEALTH CENTER
Authorized official
MS. BARBARA GARRITY LNHA (EXECUTIVE DIRECTOR)
(218) 863-2991
Entity
Organization
Contact information
Practice address
215 E MILL AVE, PELICAN RAPIDS, MN 56572-4250
(218) 863-1133
Mailing address
215 E MILL AVE, PELICAN RAPIDS, MN 56572-4250
(218) 863-1133
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
357561
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801819636
NPI
MN
Enumeration date
03/22/2013
Last updated
03/22/2013
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