# BENEDICTINE LIVING COMMUNITY OF WAHPETON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BENEDICTINE LIVING COMMUNITIES, INC.
- **Other names:** Siena Court
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861745838
- **Legal business name:** BENEDICTINE LIVING COMMUNITIES, INC.
- **Authorized official:** EMMY TRETTER (ADMINISTRATOR/CEO)
- **Authorized official phone:** (701) 642-6667

## Contact information

- **Practice address:** 711 14TH AVENUE NORTH, WAHPETON, ND 58075
- **Practice address phone:** (701) 642-6667
- **Mailing address:** 711 14TH AVENUE NORTH, WAHPETON, ND 58075
- **Mailing address phone:** (701) 642-6667

## Taxonomy

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

## Other

- **Enumeration date:** 10/16/2012
- **Last updated:** 10/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | APPLIED FOR | — | ND |