# SANFORD LIVING CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sanford Health Underwood Continuing Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588761993
- **Authorized official:** MR. JOHN B RIEKE (COO)
- **Authorized official phone:** (701) 323-8180

## Contact information

- **Practice address:** 1000 18TH ST NW, SUITE 1, MANDAN, ND 58554-1612
- **Practice address phone:** (701) 323-6000
- **Practice address fax:** (701) 323-5221
- **Mailing address:** 1000 18TH ST NW, SUITE 1, MANDAN, ND 58554-1612
- **Mailing address phone:** (701) 323-6000
- **Mailing address fax:** (701) 323-5221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1062B | ND | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 05/15/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1062B | STATE | ND |
| 01 | — | 1305 | BCBS | — |
| 05 | — | 30053 | — | ND |