NPI 1588079156

The Odd Fellows and Rebekah Home of North Dakota INC.

Organisation Custodial Care Facility Devils Lake, ND

Practice location

Address: 1107 Walnut St E, Devils Lake, ND 58301-3240
Phone: (701) 662-3330

Authorised official

Name: Mark Ulrich
Title: Administrator
Phone: (701) 662-3330

Registered specialties

Custodial Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 8007 (ND)

Other Custodial Care Facility providers in North Dakota →

Registry record

NPI: 1588079156
Entity type: Organization
NPI issued: 23 Jun 2014
Record last updated: 23 Jun 2014

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.