Organization
LAKE REGION COMMUNITY SHELTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA BERGSRUD (DIRECTOR)
(701) 662-6767
Entity
Organization
Contact information
Practice address
512 4TH ST NE, DEVILS LAKE, ND 58301-2597
(701) 665-2797
Mailing address
414 4TH AVE NE, DEVILS LAKE, ND 58301-2458
(701) 662-6767
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
05/22/2023
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