Organization
EXNERS BASIC CARE INC
Active
Other names
Gackle Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY M EXNER (ADMINISTRATOR OWNER)
(701) 485-3395
Entity
Organization
Contact information
Practice address
304 1ST AVE W, GACKLE, ND 58442-0335
(701) 485-3395
(701) 485-3962
Mailing address
PO BOX 335, 3040 1ST AVE W, GACKLE, ND 58442-0335
(701) 485-3395
(701) 485-3962
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
030766
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030766
—
ND
Enumeration date
11/17/2006
Last updated
08/22/2020
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