The Odd Fellows and Rebekah Home of North Dakota Inc.

NPI #1588079156 in Devils Lake, North Dakota

Provider Information

NPI Number
1588079156
Entity Type
Organization
Organization Name
The Odd Fellows and Rebekah Home of North Dakota Inc.
Primary Specialty
Custodial Care Facility
Enumeration Date
Jun 23, 2014
Last Updated
Jun 23, 2014

Practice Location

Address
1107 WALNUT ST E
ZIP Code
58301-3240
Phone
(701) 662-3330

Authorized Official

Name
MARK ULRICH
Title
ADMINISTRATOR
Phone
(701) 662-3330

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility

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