Organization
LAKE REGION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA SVEDBERG (CFO)
(701) 662-8681
Entity
Organization
Contact information
Practice address
2017 HIGHWAY 20, DEVILS LAKE, ND 58301-8650
(701) 662-8681
Mailing address
224 3RD ST NW, DEVILS LAKE, ND 58301-2908
(701) 662-8681
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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