Organization
ELM CREST MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANESSA VOGEL (ADMINISTRATOR)
(701) 843-7526
Entity
Organization
Contact information
Practice address
100 ELM AVE, NEW SALEM, ND 58563-4031
(701) 843-7526
(701) 843-8376
Mailing address
100 ELM AVE, NEW SALEM, ND 58563-4031
(701) 843-7526
(701) 843-8376
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1086A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030116
—
ND
Enumeration date
10/07/2005
Last updated
04/23/2015
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