Organization
4 SEASONS AT MOORHEAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN NIELSON (PRESIDENT)
(218) 359-9000
Entity
Organization
Contact information
Practice address
2921 6TH AVE N, MOORHEAD, MN 56560-2594
(218) 359-9000
(218) 359-0491
Mailing address
2921 6TH AVE N, MOORHEAD, MN 56560-2594
(218) 359-9000
(218) 359-0491
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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