Organization
EASTER SEALS GOODWILL ND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GORDON L. HAUGE (PRESIDENT/CEO)
(701) 663-6828
Entity
Organization
Contact information
Practice address
211 COLLINS AVE, MANDAN, ND 58554-3106
(701) 663-6828
(701) 663-6859
Mailing address
211 COLLINS AVE, MANDAN, ND 58554-3106
(701) 663-6828
(701) 663-6859
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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