NPI 1093015265

Spirit Lake Head Start

Organisation Nursing Care Agency Fort Totten, ND

Practice location

Address: 816 3rd Ave North, Fort Totten, ND 58335
Phone: (701) 766-4070
Fax: (701) 766-1357

Authorised official

Name: Maria Lane Koch
Title: Health Service Coordinator
Phone: (701) 766-1370

Registered specialties (2)

Nursing Care Agency Primary

Agencies Taxonomy 251J00000X Licence R34550 (ND)

Other Nursing Care providers in North Dakota →

Health Service Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QH0100X

Other Clinic/Center providers in North Dakota →

Registry record

NPI: 1093015265
Entity type: Organization
NPI issued: 22 Oct 2010
Record last updated: 22 Oct 2010

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.