NPI 1003640871
Libertas
Practice location
- Address
- 12272 106th St NE, Walhalla, ND 58282-9519
- Phone
- (701) 521-5122
Authorised official
- Name
- Stephen Parkes
- Title
- Director
- Phone
- (701) 521-5122
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003640871
- Entity type
- Organization
- NPI issued
- 26 Aug 2024
- Record last updated
- 26 Aug 2024
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.