# KENSINGTON WILLISTON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194939363
- **Authorized official:** DORISANN LINDVIG (ASSISTANT DIRECTOR)
- **Authorized official phone:** (701) 774-0424

## Contact information

- **Practice address:** 1001 24TH ST W, WILLISTON, ND 58801-3245
- **Practice address phone:** (701) 774-0424
- **Mailing address:** 1001 24TH ST W, WILLISTON, ND 58801-3245
- **Mailing address phone:** (701) 774-0424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 030730 | — | ND |