Eventide Jamestown LLC
NPI #1215256078 in Jamestown, North Dakota
Provider Information
- NPI Number
- 1215256078
- Entity Type
- Organization
- Organization Name
- Eventide Jamestown LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 19, 2010
- Last Updated
- Apr 11, 2011
Practice Location
- Address
- 1300 2ND PL NE
- City
- Jamestown
- State
- North Dakota
- ZIP Code
- 58401-3709
- Phone
- (218) 233-7508
Authorized Official
- Name
- MR. WADE E STUBSON
- Title
- CFO
- Phone
- (218) 291-2216
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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