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Organization

MOTT HEALTH CARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JODI MOORE PA-C (ADMINISTRATOR)
(701) 290-0690
Entity
Organization

Contact information

Practice address
401 MILLIONAIRE AVE, MOTT, ND 58646-7270
(701) 824-3222
(701) 824-2113
Mailing address
PO BOX 32, MOTT, ND 58646-0032

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
385H00000X
Respite Care

Other

Enumeration date
08/04/2023
Last updated
10/16/2023
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