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Organization
EDGEWOOD GRAND FORKS LLC
Active
Organization
EDGEWOOD GRAND FORKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DYBWAD (VP FINANCE/BUDGET)
(701) 738-2000
Entity
Organization
Contact information
Practice address
1800 47TH AVE S, GRAND FORKS, ND 58201-2836
(701) 738-2000
Mailing address
PO BOX 13238, GRAND FORKS, ND 58208-3238
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
NULL
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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