Organization
ALPHA INC
Active
Other names
Golden Acres Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLAN METZGER (ADMINISTRATOR)
(701) 652-3117
Entity
Organization
Contact information
Practice address
1ST EAST MAIN, CARRINGTON, ND 58421-0261
(701) 652-3117
(701) 652-3118
Mailing address
PO BOX 261, 1ST EAST MAIN, CARRINGTON, ND 58421-0261
(701) 652-3117
(701) 652-3118
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1010A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030008
—
ND
01
—
24570
BLUECROSSBLUESHIELDND
ND
Enumeration date
08/29/2005
Last updated
10/10/2007
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