Organization
ANNE CARLSEN CENTER
Active
Parent organization
ANNE CARLSEN CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANNE CARLSEN CENTER
Authorized official
TIM EISSINGER (CEO)
(701) 952-5187
Entity
Organization
Contact information
Practice address
605 3RD ST NW, JAMESTOWN, ND 58401-2965
(701) 252-3850
Mailing address
701 3RD ST NW, JAMESTOWN, ND 58401-2963
(701) 252-3850
(701) 952-5154
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30875
—
ND
Enumeration date
12/31/2007
Last updated
02/18/2021
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