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REM NORTH DAKOTA INC

Intermediate Care Mentally Retarded

Fargo, North Dakota

Provider NPI: 1669643201

Organization Information:
Organization Name:  REM NORTH DAKOTA INC
Organization is not Subpart
Authorized Official:  PETER  KURYLO  CFO  847-5069360

Practice Location:
808 3RD AVE S SUITE 202 FARGO, ND 58103 US
Tel: 701-237-0934  Fax: 701-293-4041

Business Mailing Address:
808 3RD AVE S SUITE 202 FARGO, ND 58103 US
Tel: 701-237-0934  Fax: 701-293-4041

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
ND000030848

Other Provider Identifiers:

IssuerNumberStateType
000030848ND05
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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