Organization · Type 2 NPI
Lake Region Corporation
Mental Illness Intermediate Care Facility · Devils Lake, ND
NPI number
1871659797
Active
Practice location
923 6th Ave NE
Devils Lake, ND 58301-2210
Fax (701) 662-5776
Mailing address
224 3rd St NW
Devils Lake, ND 58301-2908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Intermediate Care Facility Primary | 310500000X | None listed |
Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
About NPI 1871659797
Lake Region Corporation's National Provider Identifier is 1871659797, issued on Dec 28, 2006. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Devils Lake, ND. The record was last updated on Aug 22, 2020.