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Organization

EDGEWOOD MINOT SENIOR LIVING, LLC

Active
Parent organization
EDGEWOOD MINOT SENIOR LIVING
Organization subpart
Yes

Provider details

NPI number
Legal business name
EDGEWOOD MINOT SENIOR LIVING
Authorized official
RONALD WHETTER (VICE PRESIDENT OF FINANCE)
(701) 757-5465
Entity
Organization

Contact information

Practice address
520 28TH AVE, MINOT, ND 58208
(701) 852-1399
(701) 838-0613
Mailing address
PO BOX 13238, GRAND FORKS, ND 58208
(701) 757-5465
(701) 738-2001

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
12/26/2018
Last updated
12/26/2018
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