NPI 1326516501

Edgewood Watertown Mc 2 LLC

Organisation Assisted Living Facility Watertown, SD

Practice location

Address: 225 14 Ave NE, Watertown, SD 57201
Phone: (701) 757-5410
Fax: (701) 738-2001
Mailing address: 322 Demers Ave STE 500, Grand Forks, ND 58201

Authorised official

Name: Trudi L Mosteller
Title: Regional Controller
Phone: (701) 757-5410

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1326516501
Entity type: Organization
NPI issued: 6 Nov 2018
Record last updated: 6 Nov 2018

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.