Organization
PRAIRIE ASSISTED LIVING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TISHA SCHEUER NP-C (OWNER)
(701) 226-9804
Entity
Organization
Contact information
Practice address
4914 AMBERGLOW DR, BISMARCK, ND 58503-8851
(701) 226-9804
(701) 751-1307
Mailing address
4914 AMBERGLOW DR, BISMARCK, ND 58503-8851
(701) 226-9804
(701) 751-1307
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2012
Last updated
05/22/2019
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