Organization
RESIDENTIAL ADVANTAGES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
220 MILWAUKEE ST, LAKEFIELD, MN 56150-9494
(507) 662-5236
(952) 922-6885
Mailing address
6600 FRANCE AVE S, EDINA, MN 55435-1805
(952) 925-5067
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1071037-1-HCRS
—
MN
Enumeration date
12/28/2017
Last updated
03/05/2023
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