NPI 1487929089

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Organisation Custodial Care Facility Wahpeton, ND

Practice location

Address: 714 4th St N, Wahpeton, ND 58075-3939
Phone: (701) 642-4283
Fax: (701) 642-1500

Authorised official

Name: Barbara a Boock
Title: Administrator
Phone: (701) 642-4283

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 8033A (ND)

Other Custodial Care Facility providers in North Dakota →

Registry record

NPI: 1487929089
Entity type: Organization
NPI issued: 14 Mar 2012
Record last updated: 15 Mar 2012

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.