NPI 1114673878
Lake Region Community Shelter
Practice location
- Address
- 512 4th St NE, Devils Lake, ND 58301-2597
- Phone
- (701) 665-2797
- Mailing address
- 414 4th Ave NE, Devils Lake, ND 58301-2458
Authorised official
- Name
- Brenda Bergsrud
- Title
- Director
- Phone
- (701) 662-6767
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1114673878
- Entity type
- Organization
- NPI issued
- 22 Feb 2022
- Record last updated
- 22 May 2023
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.