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ABLE, INCORPORATED

Intermediate Care Mentally Retarded

Dickinson, North Dakota

Provider NPI: 1255519658

Organization Information:
Organization Name:  ABLE, INCORPORATED
Organization is not Subpart
Authorized Official:  MICHAEL JOHN KLEIN  BUSINESS MANAGER  701-4563000

Practice Location:
653 19TH ST W  DICKINSON, ND 58601 US
Tel: 701-456-3000  Fax: 701-456-3004

Business Mailing Address:
653 19TH ST W  DICKINSON, ND 58601 US
Tel: 701-456-3000  Fax: 701-456-3004

Entity Type: Organization

Taxonomy:

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

Other Provider Identifiers:

IssuerNumberStateType
30853ND05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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