Organization
DICKINSON COUNTRYHOUSE LLC
Active
Other names
Dickinson CountryHouse LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STACY RANDELS (VP ASSET MANAGEMENT)
(531) 800-3364
Entity
Organization
Contact information
Practice address
628 24TH ST W, DICKINSON, ND 58601-2731
(701) 847-0842
Mailing address
17110 MARCY ST STE LL01, OMAHA, NE 68118-3119
(531) 800-3364
(531) 800-3364
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/23/2025
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