NPI 1093253346
Edgewood Sartell LLC
Practice location
- Address
- 322 Demers Ave Suite 500, Grand Forks, ND 58201-4754
- Phone
- (701) 757-5412
- Mailing address
- 677 Brianna Dr, Sartell, MN 56377-4752
Authorised official
- Name
- Rex Carlson
- Title
- Cfo
- Phone
- (701) 757-5412
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1093253346
- Entity type
- Organization
- NPI issued
- 7 Feb 2017
- Record last updated
- 7 Feb 2017
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.