NPI 1548050461
Dickinson Countryhouse LLC
Practice location
- Address
- 628 24th St W, Dickinson, ND 58601-2731
- Phone
- (701) 847-0842
- Mailing address
- 17110 Marcy St STE Ll01, Omaha, NE 68118-3119
Authorised official
- Name
- Stacy Randels
- Title
- Vp Asset Management
- Phone
- (531) 800-3364
Registered specialties (2)
Alzheimer Center (Dementia Center)
Primary
In Home Supportive Care Agency
Registry record
- NPI
- 1548050461
- Entity type
- Organization
- NPI issued
- 12 May 2025
- Record last updated
- 23 May 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.