Organization
NORTH DAKOTA VETERANS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIN LUNNEBORG (ACCOUNTING MANAGER)
(701) 683-6503
Entity
Organization
Contact information
Practice address
1400 ROSE ST, BOX 673, LISBON, ND 58054-4846
(701) 683-6500
(701) 683-6550
Mailing address
1400 ROSE ST, BOX 673, LISBON, ND 58054-4846
(701) 683-6500
(701) 683-6550
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1093A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30293
—
ND
Enumeration date
01/16/2006
Last updated
08/22/2020
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