Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareEVERGREEN DICKINSON, LLC
Custodial Care Facility
Dickinson, North Dakota
Provider NPI: 1316143175
Organization Information:Organization Name: EVERGREEN DICKINSON, LLC
Practice Location:
2143 6TH AVE W DICKINSON, ND 58601 US
Tel: 701-483-6606 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:
2143 6TH AVE W DICKINSON, ND 58601 US
Tel: 701-483-6606 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | ND | 8054A |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 030765 | ND | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin