Organization
VILLA NAZARETH
Active
Parent organization
CATHOLIC HEALTH INITIATIVES
Other names
Friendship, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC HEALTH INITIATIVES
Authorized official
MR. DAVE KEELER (CFO)
(701) 235-8217
Entity
Organization
Contact information
Practice address
2302 18TH STREET SOUTH, 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
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
35003
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30823
—
ND
Enumeration date
12/21/2006
Last updated
10/09/2008
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