NPI 1841015583
Edgewood Lakewood Mandan, LLC
Practice location
- Address
- 4401 21st St SE, Mandan, ND 58554-6425
- Phone
- (701) 738-2000
- Fax
- (701) 738-2001
- Mailing address
- PO Box 13238, Grand Forks, ND 58208-3238
Authorised official
- Name
- John Dybwad
- Title
- Vp Finance/Budget
- Phone
- (701) 757-5422
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1841015583
- Entity type
- Organization
- NPI issued
- 18 Nov 2024
- Record last updated
- 18 Nov 2024
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.