Organization
COMMUNITY OPTIONS FOR RESIDENTIAL AND EMPLOYMENT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTYN KLOEHN (COMPLIANCE OFFICER)
(701) 715-3178
Entity
Organization
Contact information
Practice address
4909 SHELBURNE ST, BISMARCK, ND 58503-5605
(701) 223-2417
Mailing address
4909 SHELBURNE ST, BISMARCK, ND 58503-5605
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1456237
—
ND
Enumeration date
02/18/2021
Last updated
02/18/2021
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