Organization
SOURIS VALLEY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI DICK (ADMINISTRATOR)
(701) 338-2072
Entity
Organization
Contact information
Practice address
300 MAIN ST S, VELVA, ND 58790-7342
(701) 338-2072
(701) 338-2031
Mailing address
300 MAIN ST S, VELVA, ND 58790-7342
(701) 338-2072
(701) 338-2031
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1091A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8144
BCBS OF ND
ND
Enumeration date
11/17/2005
Last updated
08/22/2020
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