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Organization
SISTERS OF MARY OF THE PRESENTATION LONG-TERM CARE
Active
Organization
SISTERS OF MARY OF THE PRESENTATION LONG-TERM CARE
Active
Other names
Rosewood on Broadway
Organization subpart
No
Provider details
NPI number
Authorized official
MELDINE KAY TANG (CHIEF FINANCIAL OFFICER)
(701) 277-7999
Entity
Organization
Contact information
Practice address
1351 BROADWAY N, FARGO, ND 58102-2638
(701) 277-7999
(701) 277-7989
Mailing address
1351 BROADWAY N, FARGO, ND 58102-2638
(701) 277-7999
(701) 277-7989
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1022A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12518
BLUE CROSS ND
ND
05
—
30420
—
ND
05
—
687667600
—
MN
01
—
9F64R0
BLUE CROSS MN
MN
Enumeration date
06/13/2005
Last updated
04/16/2021
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