Whalio Doctors

NPI 1407984081

Eventide Senior Living Communities LLC

Organisation Alzheimer Center (Dementia Center) West Fargo, ND

Practice location

Address
225 13th Avenue West, West Fargo, ND 58078
Phone
(701) 478-6000
Mailing address
1405 7th St S, Moorhead, MN 56560-3444

Authorised official

Name
Wade E Stubson
Title
Cfo
Phone
21829122216

Registered specialties (2)

Alzheimer Center (Dementia Center) Primary
Nursing & Custodial Care Facilities Taxonomy 311500000X Licence 8100A (ND)
Assisted Living Facility
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 63 (ND)

Registry record

NPI
1407984081
Entity type
Organization
NPI issued
2 Mar 2007
Record last updated
11 Sep 2025

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.