Organization
REM NORTH DAKOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
1905 2ND ST SE STE 1A, MINOT, ND 58701-6566
(701) 418-2012
Mailing address
1905 2ND ST SE STE 1A, MINOT, ND 58701-6566
(701) 418-2012
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
000030863
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030863
—
ND
Enumeration date
03/27/2008
Last updated
04/22/2023
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