Edgewood Jamestown,llc
NPI #1891241139 in Grand Forks, North Dakota
Provider Information
- NPI Number
- 1891241139
- Entity Type
- Organization
- Organization Name
- Edgewood Jamestown,llc
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Aug 28, 2016
- Last Updated
- Aug 28, 2016
Practice Location
- Address
- 322 DEMERS AVE
- Address 2
- SUITE 500
- City
- Grand Forks
- State
- North Dakota
- ZIP Code
- 58201-4754
- 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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