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Organization

LIGHTHOUSE CHURCH OF FARGO

Active
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Organization

LIGHTHOUSE CHURCH OF FARGO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELINDA FAYE SCHNASE (ADMINISTRATIVE ASSISTANT)
(701) 212-8626
Entity
Organization

Contact information

Practice address
111 9TH ST S, FARGO, ND 58103-1831
(701) 212-8626
Mailing address
21 9TH ST S, FARGO, ND 58103-1830
(791) 212-8626

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
347C00000X
Private Vehicle
—
NULL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251B00000X
—
ND
05
—
251S00000X
—
ND
05
—
347C00000X
—
ND
Enumeration date
02/24/2021
Last updated
02/24/2021
About Stedi
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