Organization
SPIRIT LAKE SENIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN ANN HUNT (OPERATIONS DIRECTOR)
(701) 766-1296
Entity
Organization
Contact information
Practice address
307 1ST AVE, FORT TOTTEN, ND 58335
(701) 766-1296
(701) 766-1815
Mailing address
PO BOX 359, 307 1ST AVE, FORT TOTTEN, ND 58335
(701) 766-1296
(701) 766-1815
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1463884
—
ND
Enumeration date
08/21/2025
Last updated
08/21/2025
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