NPI 1770004996

Edgewood Mitchell LLC

Organisation Assisted Living Facility Mitchell, SD

Practice location

Address: 501 East Spruce Street, Mitchell, SD 57301
Phone: (701) 738-2000
Mailing address: 322 Demers Ave STE 500, Grand Forks, ND 58201

Authorised official

Name: Rex Carlson
Title: Exec Vp, Cfo, Treasurer
Phone: (701) 757-5463

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in South Dakota →

Registry record

NPI: 1770004996
Entity type: Organization
NPI issued: 28 Jun 2017
Record last updated: 28 Jun 2017

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.