Organization
ANNE CARLSEN CENTER FOR CHILDREN
Active
Parent organization
ANNE CARLSEN CENTER FOR CHILDREN
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANNE CARLSEN CENTER FOR CHILDREN
Authorized official
TIM EISSINGER (CEO)
(701) 952-5187
Entity
Organization
Contact information
Practice address
603 3RD ST NW, JAMESTOWN, ND 58401-2965
(701) 252-3850
(701) 952-5154
Mailing address
701 3RD ST NW, JAMESTOWN, ND 58401-2963
(701) 252-3850
(701) 952-5154
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30874
—
ND
Enumeration date
12/31/2007
Last updated
02/18/2021
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