Organization
SANFORD LIVING CENTERS
Active
Other names
Sanford Health Underwood Continuing Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN B RIEKE (COO)
(701) 323-8180
Entity
Organization
Contact information
Practice address
1000 18TH ST NW, SUITE 1, MANDAN, ND 58554-1612
(701) 323-6000
(701) 323-5221
Mailing address
1000 18TH ST NW, SUITE 1, MANDAN, ND 58554-1612
(701) 323-6000
(701) 323-5221
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1062B
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1062B
STATE
ND
01
—
1305
BCBS
—
05
—
30053
—
ND
Enumeration date
09/20/2006
Last updated
05/15/2013
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