MINOT VOC ADJ WORKSHOP
Intermediate Care Facility, Mentally Retarded
Minot, North Dakota
Provider NPI: 1730248238
Organization Information:Organization Name: MINOT VOC ADJ WORKSHOP
Practice Location:
605 27TH ST SE MINOT, ND 58701 US
Tel: 701-852-1014 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:
605 27TH ST SE MINOT, ND 58701 US
Tel: 701-852-1014 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | ND |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
30820 | ND | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin