Organization
ROCK OF AGES HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM M EXNER (ADMINISTRATOR OWNER)
(701) 252-9292
Entity
Organization
Contact information
Practice address
1315 4TH ST NE, JAMESTOWN, ND 58401-3726
(701) 252-9292
(701) 252-0417
Mailing address
1315 4TH ST NE, JAMESTOWN, ND 58401-3726
(701) 252-9292
(701) 252-0417
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8021B
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30716
—
ND
Enumeration date
11/07/2006
Last updated
08/22/2020
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