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Organization

HOLLY RIDGE MANOR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE DAWN SCHNEIDER (ADMINISTRATOR)
(320) 239-7104
Entity
Organization

Contact information

Practice address
500 HOLLY RIDGE DR, STARBUCK, MN 56381-2150
(320) 239-4775
Mailing address
PO BOX 40, STARBUCK, MN 56381-0040
(320) 239-7104

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
333050
MN

Other

Enumeration date
09/08/2006
Last updated
10/03/2007
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