Edgewood Parkwood Place,llc
NPI #1639549298 in Grand Forks, North Dakota
Provider Information
- NPI Number
- 1639549298
- Entity Type
- Organization
- Organization Name
- Edgewood Parkwood Place,llc
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 25, 2015
- Last Updated
- Sep 25, 2015
Practice Location
- Address
- 749 S 30TH ST
- City
- Grand Forks
- State
- North Dakota
- ZIP Code
- 58201-4084
- Phone
- (701) 757-5465
Authorized Official
- Name
- MR. REX CARLSON
- Title
- CFO
- Phone
- (701) 757-5463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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