Organization
LIFE SKILLS AND TRANSITION CENTER DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA AUKLAND (ASSISTANT CFO - DHS)
(701) 328-4924
Entity
Organization
Contact information
Practice address
701 W 6TH ST, GRAFTON, ND 58237-1379
(701) 352-4200
Mailing address
701 W 6TH ST, GRAFTON, ND 58237-1379
(701) 352-4200
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41297
—
ND
Enumeration date
03/16/2007
Last updated
12/10/2020
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