Organization
VILLA NAZARETH
Active
Other names
Friendship Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DORI LESLIE (PRESIDENT)
(701) 235-8217
Entity
Organization
Contact information
Practice address
801 PAGE DR S, FARGO, ND 58103-2315
(701) 235-8217
(701) 235-7538
Mailing address
801 PAGE DR S, FARGO, ND 58103-2315
(701) 235-8217
(701) 235-7538
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1456353
—
ND
Enumeration date
12/28/2020
Last updated
12/28/2020
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