# SISTERS OF MARY OF THE PRESENTATION LONG-TERM CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rosewood on Broadway
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578567996
- **Authorized official:** MELDINE KAY TANG (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (701) 277-7999

## Contact information

- **Practice address:** 1351 BROADWAY N, FARGO, ND 58102-2638
- **Practice address phone:** (701) 277-7999
- **Practice address fax:** (701) 277-7989
- **Mailing address:** 1351 BROADWAY N, FARGO, ND 58102-2638
- **Mailing address phone:** (701) 277-7999
- **Mailing address fax:** (701) 277-7989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1022A | ND | Yes |

## Other

- **Enumeration date:** 06/13/2005
- **Last updated:** 04/16/2021

## 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 |