Organization
RED RIVER HUMAN SERVICES FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R. NEWBERGER (CEO)
(701) 532-3401
Entity
Organization
Contact information
Practice address
348 14TH ST N, WAHPETON, ND 58075
(701) 235-0971
(701) 235-1051
Mailing address
2506 35TH AVE S, FARGO, ND 58104-8897
(701) 235-0971
(701) 235-1051
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
30864
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003200006
—
ND
Enumeration date
04/04/2007
Last updated
08/18/2016
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