Organization
DREAM LIVING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANKAR EZOM (MARKETING MANAGER)
(701) 730-8269
Entity
Organization
Contact information
Practice address
7220 28TH ST S, FARGO, ND 58104-4589
(701) 213-2222
Mailing address
7220 28TH ST S, FARGO, ND 58104-4589
(701) 213-2222
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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