NPI 1871659797

Lake Region Corporation

Organisation Mental Illness Intermediate Care Facility Devils Lake, ND

Practice location

Address: 923 6th Ave NE, Devils Lake, ND 58301-2210
Phone: (701) 662-8681
Fax: (701) 662-5776
Mailing address: 224 3rd St NW, Devils Lake, ND 58301-2908

Authorised official

Name: Ellen Davidson
Title: Ceo
Phone: (701) 662-8681

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X

Other Intermediate Care Facility, Mental Illness providers in North Dakota →

Registry record

NPI: 1871659797
Entity type: Organization
NPI issued: 28 Dec 2006
Record last updated: 22 Aug 2020

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.