NPI 1275147654

West Fargo Ops LLC

Organisation Assisted Living Facility West Fargo, ND

Practice location

Address: 645 33rd Ave E, West Fargo, ND 58078-8074
Phone: (701) 551-7700
Mailing address: 5900 Clearwater Dr STE 500, Minnetonka, MN 55343-8961

Authorised official

Name: Ryan Novaczyk
Title: Ceo
Phone: (952) 241-8204

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in North Dakota →

Registry record

NPI: 1275147654
Entity type: Organization
NPI issued: 3 Sep 2020
Record last updated: 3 Sep 2020

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.