Organization
RED RIVER HUMAN SERVICES FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS NEWBERGER CPA (EXECUTIVE DIRECTOR)
(701) 235-0971
Entity
Organization
Contact information
Practice address
903 MULBERRY LN, WEST FARGO, ND 58078-5000
(701) 532-3451
(701) 235-1051
Mailing address
2506 35TH AVE S, SUITE A, FARGO, ND 58104-8897
(701) 235-0971
(701) 235-1051
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700908589
—
ND
05
—
1881717122
—
ND
05
—
1972626216
—
ND
Enumeration date
04/03/2014
Last updated
04/03/2014
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