NPI 1891241139

Edgewood Jamestown,llc

Organisation Assisted Living Facility Grand Forks, ND

Practice location

Address: 322 Demers Ave Suite 500, Grand Forks, ND 58201-4754
Phone: (701) 757-5465
Mailing address: 1104 25th Street SW, Jamestown, ND 58401

Authorised official

Name: Rex Carlson
Title: Cfo
Phone: (701) 757-5463

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1891241139
Entity type: Organization
NPI issued: 28 Aug 2016
Record last updated: 28 Aug 2016

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.