Organization
EDGEWOOD MITCHELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REX CARLSON (EXEC VP, CFO, TREASURER)
(701) 757-5463
Entity
Organization
Contact information
Practice address
501 EAST SPRUCE STREET, MITCHELL, SD 57301
(701) 738-2000
Mailing address
322 DEMERS AVE STE 500, GRAND FORKS, ND 58201
(701) 757-5410
(701) 738-2001
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
SD
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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