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Organization
THE ODD FELLOWS AND REBEKAH HOME OF NORTH DAKOTA INC.
Active
Organization
THE ODD FELLOWS AND REBEKAH HOME OF NORTH DAKOTA INC.
Active
Other names
Odd Fellows Home
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ULRICH (ADMINISTRATOR)
(701) 662-3330
Entity
Organization
Contact information
Practice address
1107 WALNUT ST E, DEVILS LAKE, ND 58301-3240
(701) 662-3330
Mailing address
1107 WALNUT ST E, DEVILS LAKE, ND 58301-3240
(701) 662-3330
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
8007
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30713
—
ND
Enumeration date
06/23/2014
Last updated
06/23/2014
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