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Organization
CAVALIER COUNTY SENIOR MEALS & SERVICES
Active
Organization
CAVALIER COUNTY SENIOR MEALS & SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARRIE LYNN MIKKELSEN (DIRECTOR)
(701) 256-2828
Entity
Organization
Contact information
Practice address
211 8TH AVE, LANGDON, ND 58249-2637
(701) 256-2828
(701) 256-2838
Mailing address
211 8TH AVE, LANGDON, ND 58249-2637
(701) 256-2828
(701) 256-2838
Taxonomy
Speciality
Code
Description
License number
State
347B00000X
Bus
Primary
G11306
ND
347B00000X
Bus
KDJ239
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53954
—
ND
Enumeration date
11/10/2014
Last updated
11/10/2014
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