NPI 1134395395

Villa Nazareth

Organisation Intellectual Disabilities Intermediate Care Facility Park River, ND

Practice location

Address: 503 Hilltop Dr, Park River, ND 58270-4203
Phone: (701) 284-6453
Fax: (701) 284-7548
Mailing address: 801 Page Dr S, Fargo, ND 58103-2315

Authorised official

Name: Dave Keeler
Title: Cfo
Phone: (701) 235-8217

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 30859 (ND)

Other Intermediate Care Facility, Intellectual Disabilities providers in North Dakota →

Registry record

NPI: 1134395395
Entity type: Organization
NPI issued: 7 May 2008
Record last updated: 7 May 2008

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.