Organization
OPEN DOOR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCY RAE SVENNINGSEN (FINANCIAL DIRECTOR)
(701) 845-1124
Entity
Organization
Contact information
Practice address
209 2ND ST SE, VALLEY CITY, ND 58072-3407
(701) 845-1124
(701) 845-1175
Mailing address
129 3RD AVE NE, VALLEY CITY, ND 58072-3057
(701) 845-1124
(701) 845-1175
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30830
—
ND
Enumeration date
02/12/2008
Last updated
10/06/2020
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