Organization
EDGEWOOD PRAIRIE CROSSINGS WATERTOWN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA KRAMER (DIRECTOR OF UTILIZATION REVIEW)
(701) 317-0892
Entity
Organization
Contact information
Practice address
424 9TH ST SE, WATERTOWN, SD 57201-4554
(605) 882-9003
(605) 882-9433
Mailing address
322 DEMERS AVE, SUITE 500, GRAND FORKS, ND 58201-4754
(701) 317-0892
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10738
SD
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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