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Organization
GREAT PLAINS RESTORATIVE SERVICES, LLC
Active
Organization
GREAT PLAINS RESTORATIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY PAUL LORD (CHIEF EXECUTIVE OFFICER)
(701) 530-4000
Entity
Organization
Contact information
Practice address
1212 E MAIN AVE, BISMARCK, ND 58501-4518
(701) 530-4000
(701) 530-4001
Mailing address
1212 E MAIN AVE, BISMARCK, ND 58501-4518
(701) 530-4000
(701) 530-4001
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
332BD1200X
Dialysis Equipment & Supplies (DME)
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
07/11/2023
Last updated
01/27/2025
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