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1150 GROUP HOME

Intermediate Care Mentally Retarded

Mandan, North Dakota

Provider NPI: 1548782790

Organization Information:
Organization Name:  1150 GROUP HOME
Organization is Subpart
Authorized Official:  PAUL  KRAMER  CFO  701-6678614

Practice Location:
1150 N. COLLINS AVEUE  MANDAN, ND 58554 US
Tel: 701-663-0379  Fax: --

Business Mailing Address:
1007 18TH ST NW  MANDAN, ND 58554 US
Tel: 701-663-0379  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
ND









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