# OSNABROCK COMMUNITY LIVING CENTER

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

## Provider details

- **NPI number:** 1417297888
- **Authorized official:** CORAL M FLEMING LPN (ADMINISTRATOR/LPN)
- **Authorized official phone:** (701) 496-3131

## Contact information

- **Practice address:** 326 RAINBOW RD, OSNABROCK, ND 58269-6901
- **Practice address phone:** (701) 496-3131
- **Mailing address:** 326 RAINBOW RD, OSNABROCK, ND 58269-6901
- **Mailing address phone:** (701) 496-3131

## Taxonomy

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

## Other

- **Enumeration date:** 02/22/2013
- **Last updated:** 02/22/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 070765246 | DUNS \# | ND |