Whalio Doctors

NPI 1104083708

River Valley Homes, INC.

Organisation Foster Care Agency Lake Crystal, MN

Practice location

Address
20176 528th Ave, Lake Crystal, MN 56055-2286
Phone
(507) 726-6239

Authorised official

Name
Debra Frances Blaness
Title
Administrator
Phone
(507) 726-6239

Registered specialties (2)

Foster Care Agency Primary
Agencies Taxonomy 253J00000X Licence 1015968-1-WS (MN)
Home Health Agency
Agencies Taxonomy 251E00000X Licence 1015968-1-WS (MN)

Registry record

NPI
1104083708
Entity type
Organization
NPI issued
21 May 2008
Record last updated
21 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.