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OPEN DOOR CENTER

Intermediate Care Mentally Retarded

Valley City, North Dakota

Provider NPI: 1235204389

Organization Information:
Organization Name:  OPEN DOOR CENTER
Organization is not Subpart
Authorized Official:  MARCY RAE SVENNINGSEN  BUSINESS MANAGER  701-8451124

Practice Location:
209 2ND STREET SE  VALLEY CITY, ND 58072 US
Tel: 701-845-1124  Fax: 701-845-1175

Business Mailing Address:
209 2ND STREET SE  VALLEY CITY, ND 58072 US
Tel: 701-845-1124  Fax: 701-845-1175

Entity Type: Organization

Taxonomy:

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

Other Provider Identifiers:

IssuerNumberStateType
30822ND05
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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