Organization
PAM CUBED REHABILITATION HOSPITAL OF FARGO LLC
Active
Other names
PAM Rehabilitation Hospital of Fargo
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY MISITANO (PRESIDENT)
(717) 731-9660
Entity
Organization
Contact information
Practice address
4671 38TH ST S, FARGO, ND 58104-7866
(701) 404-5100
Mailing address
1828 GOOD HOPE RD STE 102, ENOLA, PA 17025-1203
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
02/16/2026
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