Eventide
NPI #1942538608 in West Fargo, North Dakota
Provider Information
- NPI Number
- 1942538608
- Entity Type
- Organization
- Organization Name
- Eventide
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 18, 2009
- Last Updated
- Apr 11, 2011
Practice Location
- Address
- 125 13TH AVE W
- City
- West Fargo
- State
- North Dakota
- ZIP Code
- 58078-3356
- Phone
- (701) 478-6000
Authorized Official
- Name
- MR. WADE E STUBSON
- Title
- CFO
- Phone
- (218) 291-2216
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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