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Organization
THE LEACH HOME
Active
Organization
THE LEACH HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA A BOOCK LPN (ADMINISTRATOR)
(701) 642-4283
Entity
Organization
Contact information
Practice address
714 4TH ST N, WAHPETON, ND 58075-3939
(701) 642-4283
(701) 642-1500
Mailing address
714 4TH ST N, WAHPETON, ND 58075-3939
(701) 642-4283
(701) 642-1500
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
8033A
ND
Other
Enumeration date
03/14/2012
Last updated
03/15/2012
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