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LAKE REGION CORPORATION

Intermediate Care Facility, Mental Illness

Devils Lake, North Dakota

Provider NPI: 1871659797

Organization Information:
Organization Name:  LAKE REGION CORPORATION


Practice Location:
923 6TH AVE NE  DEVILS LAKE, ND 58301 US
Tel: 701-662-8681  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness

Other Provider Identifiers:

IssuerNumberStateType
PROVIDER NUMBER30826ND01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




INTERMEDIATE CARE JOBS ND - Page 1