Organization
SOURIS VALLEY SPECIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY HALVORSON (BUJSINESS MANAGER)
(701) 857-4410
Entity
Organization
Contact information
Practice address
215 2ND ST SE, MINOT, ND 58701-3924
(701) 857-4410
Mailing address
215 2ND ST SE, MINOT, ND 58701-3924
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
09/24/2007
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