Organization
LUTHERAN SUNSET HOME CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON CARLSON (CEO)
(701) 352-1901
Entity
Organization
Contact information
Practice address
333 EASTERN AVE, GRAFTON, ND 58237-1233
(701) 352-1901
(701) 352-1926
Mailing address
333 EASTERN AVE, GRAFTON, ND 58237-1233
(701) 352-1901
(701) 352-1926
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
8108
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1458265
—
ND
01
—
1636
BC/BS
ND
Enumeration date
10/27/2015
Last updated
10/27/2015
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