Organization
SENIOR MEALS & SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT HEJLIK (SERVICES DIRECTOR)
(701) 662-5061
Entity
Organization
Contact information
Practice address
202 4TH AVE NE, DEVILS LAKE, ND 58301
(701) 662-5061
Mailing address
202 4TH AVE NE, DEVILS LAKE, ND 58301
(701) 662-5061
Taxonomy
Speciality
Code
Description
License number
State
347B00000X
Bus
Primary
HPP847
ND
347B00000X
Bus
JFJ887
ND
347B00000X
Bus
JKL907
ND
347B00000X
Bus
JZA790
ND
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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