NPI 1407153059

1203 Grouphome

Organisation Intellectual Disabilities Intermediate Care Facility Mandan, ND

Practice location

Address: 1203 7th Ave SE, Mandan, ND 58554
Phone: (701) 667-6168
Mailing address: 201 4th Ave NW, Mandan, ND 58554-3135

Authorised official

Name: Mike Remboldt
Title: Ceo
Phone: (701) 633-0379

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in North Dakota →

Registry record

NPI: 1407153059
Entity type: Organization
NPI issued: 17 Feb 2011
Record last updated: 17 Apr 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.