Organization
BENEDICTINE LIVING COMMUNITIES INC.
Active
Parent organization
BENEDICTINE LIVING COMMUNITIES INC.
Other names
Prince of Peace Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENEDICTINE LIVING COMMUNITIES INC.
Authorized official
TONY C HANSON (ADMINISTRATOR/CEO)
(701) 349-3312
Entity
Organization
Contact information
Practice address
201 8TH ST N, ELLENDALE, ND 58436-7341
(701) 349-3312
(701) 349-4550
Mailing address
201 8TH ST N, ELLENDALE, ND 58436-7341
(701) 349-3312
(701) 349-4550
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1064A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030012
—
ND
05
—
30522
—
ND
Enumeration date
10/27/2005
Last updated
03/30/2016
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