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Organization

AEGIS THERAPIES

Active
Other names
Golden Living Center
Organization subpart
No

Provider details

NPI number
Authorized official
SHAUNA RAE NELSON OTR/L (OCCUPATIONAL THERAPIST)
(701) 306-9580
Entity
Organization

Contact information

Practice address
2810 2ND AVE N, MOORHEAD, MN 56560-2508
(701) 306-9580
Mailing address
601 10TH AVE W, WEST FARGO, ND 58078-2531
(701) 306-9580

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
104123
MN
314000000X
Skilled Nursing Facility
Primary
453
ND

Other

Enumeration date
06/02/2014
Last updated
06/02/2014
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