Organization · Type 2 NPI

1203 Grouphome

Intellectual Disabilities Intermediate Care Facility · Mandan, ND

NPI number 1407153059 Active

Practice location

1203 7th Ave SE
Mandan, ND 58554

Call (701) 667-6168 Map

Mailing address

201 4th Ave NW
Mandan, ND 58554-3135

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1407153059

1203 Grouphome's National Provider Identifier is 1407153059, issued on Feb 17, 2011. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Mandan, ND. The record was last updated on Apr 17, 2024.