Life Skills And Transition Center Dental

NPI 1295869501 - Intermediate Care Facility, Mental Illness - 310500000X

NPI Details
NPI 1295869501
Enumeration Date 03/16/2007
Last Updated 08/08/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALEX C. ALEX
Position SUPERINTENDENT
Phone (701) 352-4200
Fax
Practice Location
701 W 6TH ST
GRAFTON ND, 58237-1379, US
Phone (701) 352-4200
Fax
Business Location
701 W 6TH ST
GRAFTON ND, 58237-1379, US
Phone (701) 352-4200
Fax
Toxanomy
Taxonomy Code 310500000X
License State
License Number
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According to our database, Life Skills And Transition Center Dental NPI is 1295869501, taxonomy code is 310500000X Life Skills And Transition Center Dental physically located at 701 W 6th St, Grafton ND, 58237-1379. NPI Number 1033115704 has the healthcare provider type.

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1295869501 NPI number is provided on an as is basis without warranty of any kind. 1295869501 is maintained by the National Plan & Provider Enumeration System. The contents of Life Skills And Transition Center Dental are for informational purposes only.