Organization
MEMORIAL HOSPITAL ASSOCIATION
Active
Other names
Maddock Memorial Home
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE NELSON (ADMINISTRATOR)
(701) 438-2641
Entity
Organization
Contact information
Practice address
301 ROOSEVELT AVE, MADDOCK, ND 58348-7138
(701) 438-2641
(701) 438-2187
Mailing address
301 ROOSEVELT AVE., MADDOCK, ND 58348
(701) 438-2641
(701) 438-2187
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8024A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30710
—
ND
Enumeration date
02/18/2014
Last updated
02/18/2014
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