1203 GROUPHOME

Intermediate Care Facility, Intellectual Disabilities

Active Organization
NPI: 1407153059

Practice Address

1203 7TH AVE SE
Mandan, ND 58554

Phone: (701) 667-6168

Specialties

Specialty Code Primary License
Intermediate Care Facility, Intellectual Disabilities 315P00000X Yes -

Frequently Asked Questions

NPI 1407153059 is the National Provider Identifier for 1203 GROUPHOME, a Intermediate Care Facility, Intellectual Disabilities provider located in Mandan, ND. This NPI was enumerated on February 17, 2011.

Quick Facts

NPI
1407153059
Type
Organization
Enumerated
Feb 17, 2011
Last Updated
Apr 17, 2024

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