Organization
EDGEWOOD JAMESTOWN,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REX CARLSON (CFO)
(701) 757-5463
Entity
Organization
Contact information
Practice address
322 DEMERS AVE, SUITE 500, GRAND FORKS, ND 58201-4754
(701) 757-5465
Mailing address
1104 25TH STREET SW, JAMESTOWN, ND 58401
(701) 757-5465
(701) 738-2001
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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