NPI 1184367567
Providence House LLC
Practice location
- Address
- 2126 Vista Dr, Arnegard, ND 58835
- Phone
- (701) 586-3300
- Mailing address
- PO Box 1286, Watford City, ND 58854-1286
Authorised official
- Name
- Morgan Layne
- Title
- Executive Director
- Phone
- (701) 586-3300
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Substance Use Disorder Rehabilitation Hospital Unit
Registry record
- NPI
- 1184367567
- Entity type
- Organization
- NPI issued
- 14 Apr 2022
- Record last updated
- 26 Jul 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.