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Organization

OPEN DOOR CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARCY R SVENNINGSEN (FINANCE DIRECTOR)
(701) 845-1124
Entity
Organization

Contact information

Practice address
3731 117TH AVE SE, VALLEY CITY, ND 58072
(701) 845-5114
(701) 845-1175
Mailing address
129 3RD AVE NE, VALLEY CITY, ND 58072-3057
(701) 845-1124
(701) 845-1175

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
311500000X
Alzheimer Center (Dementia Center)
347C00000X
Private Vehicle

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1454612
ND
Enumeration date
02/02/2021
Last updated
02/02/2021
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