Organization
GRAND FORKS HEAD START
Active
Other names
Grand Forks Public School
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI RAYE HOLM RN (HEALTH COORDINATOR)
(701) 746-2433
Entity
Organization
Contact information
Practice address
3600 6TH AVE N, GRAND FORKS, ND 58203-2723
(701) 746-2433
(701) 746-2450
Mailing address
3600 6TH AVE N, GRAND FORKS, ND 58203-2723
(701) 746-2433
(701) 746-2450
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
R22445
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59921
—
ND
Enumeration date
07/14/2014
Last updated
07/14/2014
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