NPI 1417124462

Villa Nazareth

Organisation Intellectual Disabilities Intermediate Care Facility Fargo, ND

Practice location

Address: 2424 18th St S, Fargo, ND 58103-5110
Phone: (701) 293-6180
Fax: (701) 232-6104
Mailing address: 801 Page Dr S, Fargo, ND 58103-2315

Authorised official

Name: Dave Keeler
Title: Cfo
Phone: (701) 235-8217

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 30824 (ND)

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

Registry record

NPI: 1417124462
Entity type: Organization
NPI issued: 9 May 2008
Record last updated: 9 May 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.