Edgewood Grand Forks LLC
NPI #1386390672 in Grand Forks, North Dakota
Provider Information
- NPI Number
- 1386390672
- Entity Type
- Organization
- Organization Name
- Edgewood Grand Forks LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 24, 2022
- Last Updated
- Sep 4, 2024
Practice Location
- Address
- 1800 47TH AVE S
- City
- Grand Forks
- State
- North Dakota
- ZIP Code
- 58201
- Phone
- (701) 738-2000
Authorized Official
- Name
- JOHN DYBWAD
- Title
- VP FINANCE/BUDGET
- Phone
- (701) 757-5422
Specialties & Taxonomy Codes
| Specialty |
|---|
| Alzheimer Center (Dementia Center) |
| Assisted Living Facility |
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