Organization
EDGEWOOD BISMARCK SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DYBWAD (VP FINANCE/BUDGET)
(701) 738-2000
Entity
Organization
Contact information
Practice address
3406 DOMINION ST, BISMARCK, ND 58503-5577
(701) 757-5465
Mailing address
PO BOX 13238, GRAND FORKS, ND 58208-3238
(701) 738-2000
(701) 738-2001
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
33569
ND
310400000X
Assisted Living Facility
Primary
8058
ND
Other
Enumeration date
05/27/2015
Last updated
02/10/2025
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