Organization
PRIDE INC.
Active
Organization
PRIDE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLA ROGGENBUCK (FINANCIAL COORDINATOR)
(701) 258-7838
Entity
Organization
Contact information
Practice address
1200 MISSOURI AVE, BISMARCK, ND 58504-5264
(701) 258-7838
(701) 258-3735
Mailing address
1200 MISSOURI AVE, BISMARCK, ND 58504-5264
(701) 258-7838
(701) 258-3735
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35002
—
ND
Enumeration date
08/31/2006
Last updated
07/01/2014
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