EDGEWOOD VISTA is an assisted living facility in Virginia, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. EDGEWOOD VISTA NPI is 1285787481. The provider is registered as an organization entity type.
The provider's business location address is:
705 17TH ST N
VIRGINIA, MN
ZIP 55792-176
Phone: (218) 741-7106
The provider's authorized official is Brett Wilkening .
The authorized official title is Billing and has the following contact phone number (701) 738-2000.
The CLIA number assigned to this NPI record is 24D1037026 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/19/2007 and was last updated on 8/22/2020.