Organization
DAKOTA ESTATES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE WOYTASSEK (SECRETARY/ ADMINISTRATIVE ASS)
(701) 538-4566
Entity
Organization
Contact information
Practice address
440 WILEY AVE. S., LIDGERWOOD, ND 58053
(701) 538-4566
Mailing address
440 WILEY AVE. S., LIDGERWOOD, ND 58053
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1463669
—
ND
Enumeration date
09/29/2020
Last updated
10/09/2020
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