SOURIS VALLEY CARE CENTER, INC.
Assisted Living Facility
Velva, North Dakota
Provider NPI: 1306821087
Organization Information:Organization Name: SOURIS VALLEY CARE CENTER, INC.
Practice Location:
300 MAIN ST S VELVA, ND 58790 US
Tel: 701-338-2072 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
300 MAIN ST S VELVA, ND 58790 US
Tel: 701-338-2072 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | ND | 025 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | ND | 1091A |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
000030216 | ND | 05 | |
BCBS MD- CI | 8144 | ND | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin