# CAVALIER COUNTY SENIOR MEALS & SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831595487
- **Authorized official:** KARRIE LYNN MIKKELSEN (DIRECTOR)
- **Authorized official phone:** (701) 256-2828

## Contact information

- **Practice address:** 211 8TH AVE, LANGDON, ND 58249-2637
- **Practice address phone:** (701) 256-2828
- **Practice address fax:** (701) 256-2838
- **Mailing address:** 211 8TH AVE, LANGDON, ND 58249-2637
- **Mailing address phone:** (701) 256-2828
- **Mailing address fax:** (701) 256-2838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 347B00000X | Bus | G11306 | ND | Yes |
| 347B00000X | Bus | KDJ239 | ND | — |

## Other

- **Enumeration date:** 11/10/2014
- **Last updated:** 11/10/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 53954 | — | ND |