NPI 1518148394
Knife River Group Homes, INC.
Practice location
- Address
- 508 3rd Ave NW, Hazen, ND 58545-4503
- Phone
- (701) 748-6627
- Fax
- (701) 748-6637
- Mailing address
- PO Box 392, Hazen, ND 58545-0392
Authorised official
- Name
- Marilyn D. Jensen
- Title
- Executive Director
- Phone
- (701) 748-6627
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1518148394
- Entity type
- Organization
- NPI issued
- 20 Nov 2007
- Record last updated
- 20 Nov 2007
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.