| NPI | 1285588491 |
|---|---|
| Doing Business As | RAVENHEAD LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | LORI KRESS CEO 651-789-5906 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2026-02-24 |
| Last Update Date | 2026-02-26 |