Organization
TRI-LIFE CENTER L.L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE K. SJOL RNC (CENTER DIRECTOR)
(701) 837-5433
Entity
Organization
Contact information
Practice address
2401 ELK DR, MINOT, ND 58701-5631
(701) 837-5433
(701) 837-5433
Mailing address
PO BOX 2023, MINOT, ND 58702-2023
(701) 837-5433
(701) 837-5434
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10298
BCBS
ND
01
—
B001
TRICARE
ND
Enumeration date
10/19/2006
Last updated
09/24/2007
Update your record
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