# EDGEWOOD MANAGEMENT GROUP

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

## Provider details

- **NPI number:** 1386178994
- **Authorized official:** PHILIP GISI (CEO)
- **Authorized official phone:** (701) 741-6230

## Contact information

- **Practice address:** 322 DEMERS AVE, SUITE 500, GRAND FORKS, ND 58201-4754
- **Practice address phone:** (701) 738-2000
- **Mailing address:** 322 DEMERS AVE, SUITE 500, GRAND FORKS, ND 58201-4754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251G00000X | Community Based Hospice Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 04/20/2017
- **Last updated:** 04/20/2017