Organization
RIDGEWELL LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENTINE TAZOH (OWNER)
(763) 237-5555
Entity
Organization
Contact information
Practice address
2353 RICE ST STE 203, ROSEVILLE, MN 55113-3775
(763) 237-5555
Mailing address
2353 RICE ST STE 203, ROSEVILLE, MN 55113-3775
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/12/2025
Last updated
09/30/2025
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