NPI 1619148467

Edgewood Fargo Senior Living, LLC

Organisation Assisted Living Facility Fargo, ND

Practice location

Address: 4420 37th Ave S, Fargo, ND 58104-3400
Phone: (701) 365-8200
Fax: (701) 365-8202
Mailing address: 2850 24th Ave S Suite 201, Grand Forks, ND 58201-5831

Authorised official

Name: Gene Hysjulien
Title: Ceo
Phone: (701) 738-2000

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 70 (ND)

Other Assisted Living Facility providers in North Dakota →

Registry record

NPI: 1619148467
Entity type: Organization
NPI issued: 20 Mar 2008
Record last updated: 20 Mar 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.