NPI 1316143175

Evergreen Dickinson, LLC

Organisation Custodial Care Facility Dickinson, ND

Practice location

Address: 2143 6th Ave W, Dickinson, ND 58601-2700
Phone: (701) 483-6606

Authorised official

Name: Vickie Cofer
Title: Asst. Director
Phone: (701) 483-6606

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 8054A (ND)

Other Custodial Care Facility providers in North Dakota →

Registry record

NPI: 1316143175
Entity type: Organization
NPI issued: 26 Jun 2007
Record last updated: 18 Nov 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.