Organization
FRASER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL BARTZ (DIRECTOR OF BUSINESS OPERATIONS)
(701) 232-3301
Entity
Organization
Contact information
Practice address
631 22ND ST E, WEST FARGO, ND 58078-2334
(701) 232-3301
(701) 237-5775
Mailing address
2902 UNIVERSITY DR S, FARGO, ND 58103-6053
(701) 232-3301
(701) 237-5775
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/14/2008
Last updated
10/19/2020
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