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Organization
EDGEWOOD PRAIRIE CROSSINGS WATERTOWN, LLC
Active
Organization
EDGEWOOD PRAIRIE CROSSINGS WATERTOWN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA KRAMER (DIRECTOR OF UTILIZATION REVIEW)
(701) 317-0892
Entity
Organization
Contact information
Practice address
424 9TH ST SE, WATERTOWN, SD 57201-4554
(605) 882-9003
(605) 882-9433
Mailing address
322 DEMERS AVE, SUITE 500, GRAND FORKS, ND 58201-4754
(701) 317-0892
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10738
SD
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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