SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE
Skilled Nursing Facility
Enderlin, North Dakota
Provider NPI: 1295730653
Organization Information:Organization Name: SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE
Practice Location:
110 HILLCREST DR ENDERLIN, ND 58027 US
Tel: 701-437-3544 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:
110 HILLCREST DR ENDERLIN, ND 58027 US
Tel: 701-437-3544 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | ND | 1074A |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ND BLUE CROSS | 12468 | ND | 01 |
30421 | ND | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin