Organization
WAY OF LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEYENNE PUETZ (OWNER)
(701) 581-5199
Entity
Organization
Contact information
Practice address
222 4TH ST N, FARGO, ND 58102-4818
(701) 581-5199
Mailing address
1709 13TH AVE S, FARGO, ND 58103-3812
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/08/2023
Last updated
12/26/2023
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