Organization
RICHLAND COUNTY
Active
Other names
Richland County Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA FLACK RN MS (ADMINISTRATOR)
(701) 642-7735
Entity
Organization
Contact information
Practice address
413 3RD AVENUE NORTH, WAHPETON, ND 58075
(701) 642-7735
(701) 642-7746
Mailing address
413 3RD AVENUE NORTH, WAHPETON, ND 58075
(701) 642-7735
(701) 642-7746
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4032A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
414
BCBS ND
ND
05
—
50080
—
ND
Enumeration date
10/06/2006
Last updated
03/26/2008
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