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OPEN DOOR CENTER

Intermediate Care Facility, Mentally Retarded

Valley City, North Dakota

Provider NPI: 1235204389

Organization Information:
Organization Name:  OPEN DOOR CENTER


Practice Location:
209 2ND STREET SE  VALLEY CITY, ND 58072 US
Tel: 701-845-1124  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
ND

Other Provider Identifiers:

IssuerNumberStateType
30822ND05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS ND - Page 1



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