Organization
BENEDICTINE LIVING COMMUNITY OF WAHPETON
Active
Parent organization
BENEDICTINE LIVING COMMUNITIES, INC.
Other names
Siena Court
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENEDICTINE LIVING COMMUNITIES, INC.
Authorized official
EMMY TRETTER (ADMINISTRATOR/CEO)
(701) 642-6667
Entity
Organization
Contact information
Practice address
711 14TH AVENUE NORTH, WAHPETON, ND 58075
(701) 642-6667
Mailing address
711 14TH AVENUE NORTH, WAHPETON, ND 58075
(701) 642-6667
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPLIED FOR
—
ND
Enumeration date
10/16/2012
Last updated
10/16/2012
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