Organization
OSNABROCK COMMUNITY LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORAL M FLEMING LPN (ADMINISTRATOR/LPN)
(701) 496-3131
Entity
Organization
Contact information
Practice address
326 RAINBOW RD, OSNABROCK, ND 58269-6901
(701) 496-3131
Mailing address
326 RAINBOW RD, OSNABROCK, ND 58269-6901
(701) 496-3131
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070765246
DUNS #
ND
Enumeration date
02/22/2013
Last updated
02/22/2013
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