REM NORTH DAKOTA
Intermediate Care Facility, Mentally Retarded
Minot, North Dakota
Provider NPI: 1417015264
Organization Information:Organization Name: REM NORTH DAKOTA
Practice Location:
1905 2ND ST SE STE 1A MINOT, ND 58701 US
Tel: 701-418-2012 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:
1905 2ND ST SE STE 1A MINOT, ND 58701 US
Tel: 701-418-2012 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 | 35704 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
35704 | ND | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin