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FRASER, LTD

Intermediate Care Mentally Retarded

Fargo, North Dakota

Provider NPI: 1932313889

Organization Information:
Organization Name:  FRASER, LTD
Authorized Official:  CAROLYN MARIE KLINKHAMMER  DIRECTOR OF BUSINESS OPERATIONS  701-2323301

Practice Location:
2902 UNIVERSITY DR S  FARGO, ND 58103 US
Tel: 701-232-3301  Fax: 701-237-5775

Business Mailing Address:
2902 UNIVERSITY DR S  FARGO, ND 58103 US
Tel: 701-232-3301  Fax: 701-237-5775

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
ND35004

Other Provider Identifiers:

IssuerNumberStateType
ND DHS PROVIDER NUMBER35004ND01
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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