Organization
COBALT REHABILITATION HOSPITAL FARGO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC HENDRICKSON (REIMBURSEMENT DIRECTOR)
(972) 414-6064
Entity
Organization
Contact information
Practice address
4671 38TH STREET S, FARGO, ND 58104
(972) 330-5870
Mailing address
650 BEEBALM LN STE 220, GARLAND, TX 75040-2955
(972) 414-6064
(972) 414-0078
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Enumeration date
06/12/2017
Last updated
06/02/2020
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