Organization
PEACE GARDEN MULTI-DISTRICT COOPERATIVE
Active
Other names
Peace Garden Special Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA DECKERT (DIRECTOR)
(701) 228-3743
Entity
Organization
Contact information
Practice address
309 2ND ST E, BOTTINEAU, ND 58318-1104
(701) 228-3743
(701) 228-3365
Mailing address
309 2ND ST E, BOTTINEAU, ND 58318-1104
(701) 228-3743
(701) 228-3365
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
19019
ND
225X00000X
Occupational Therapist
19019
ND
235Z00000X
Speech-Language Pathologist
19019
ND
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19019
—
ND
Enumeration date
01/09/2007
Last updated
07/16/2024
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