Organization
FRASER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HEPPER (DIRECTOR OF BUSINESS OPERATIONS)
(701) 232-3301
Entity
Organization
Contact information
Practice address
2726 18TH ST S, FARGO, ND 58103-6710
(701) 232-3301
(701) 237-5775
Mailing address
2902 UNIVERSITY DR S, FARGO, ND 58103-6053
(701) 232-3301
(701) 237-5775
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
ND
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730353574
—
ND
05
—
1770756041
—
ND
05
—
1932313889
—
ND
Enumeration date
04/14/2008
Last updated
10/19/2020
Update your record
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