NPI 1306243647

Edgewood Mandan, LLC

Organisation Assisted Living Facility Mandan, ND

Practice location

Address: 2801 39th Ave SE, Mandan, ND 58554-6430
Phone: (701) 663-5664
Mailing address: 322 Demers Ave Suite 500, Grand Forks, ND 58201-4754

Authorised official

Name: Ron Whetter
Title: Vp Finance/Budget
Phone: (218) 230-5953

Registered specialties (2)

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence AL68 (ND)

Other Assisted Living Facility providers in North Dakota →

Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 88 (ND)

Registry record

NPI: 1306243647
Entity type: Organization
NPI issued: 2 Dec 2014
Record last updated: 2 Dec 2014

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.