Edgewood Missoula Senior Living Llc in Grand Forks - Alzheimer Center (dementia Center)
Edgewood Missoula Senior Living Llc - NPI 1700062957
Edgewood Missoula Senior Living Llc is a Alzheimer Center (dementia Center) in Grand Forks, North Dakota. Edgewood Missoula Senior Living Llc practices all healthcare services and medical treatments related to Alzheimer Center (dementia Center). The NPI Number for Edgewood Missoula Senior Living Llc is 1700062957. The last update date is 2008-01-18.
Edgewood Missoula Senior Living Llc's current location address is 2850 24th Ave S, Grand Forks, North Dakota. You can contact this provider via phone number 7017382000 and fax number 7017382001. The mailing address for Edgewood Missoula Senior Living Llc is 2850 24th Ave S, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edgewood Missoula Senior Living Llc |
|---|---|
| Address | 2850 24th Ave S, Grand Forks, North Dakota |
| Phone Number | 7017382000 |
| Fax Number | 7017382001 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Hysjulien Gene |
| Telephone Number | 7017382000 |
NPI Number Detail
| NPI Number | 1700062957 |
|---|---|
| Provider Enumeration Date | 2008-01-18 |
| Last Updated Date | 2008-01-18 |
Provider Mailing Address Detail
| Address | 2850 24th Ave S |
|---|---|
| City | Grand Forks |
| State | North Dakota (ND) |
| Post Code | 582015831 |
| Phone Number | 7017382000 |
| Fax Number | 7017382001 |
Provider's Primary Taxonomy Detail
| Speciality | Alzheimer Center (dementia Center) |
|---|---|
| Taxonomy | 311500000X |
| Licence No | 11326 |
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Definition: A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the |
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What is the unique identifier code issued to Edgewood Missoula Senior Living Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Edgewood Missoula Senior Living Llc has been assigned the NPI (National Provider Identifier) 1700062957. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Edgewood Missoula Senior Living Llc is located?
The Edgewood Missoula Senior Living Llc is situated at the following address: 2850 24Th Ave S, Grand Forks, ND, 582015831.
What is the Edgewood Missoula Senior Living Llc's specialty and taxonomy code?
The Edgewood Missoula Senior Living Llc's specialty is Alzheimer Center (dementia Center), and the corresponding taxonomy code is 311500000X.
When did the Edgewood Missoula Senior Living Llc receive its 1700062957?
The Edgewood Missoula Senior Living Llc was issued its 1700062957 on 2008-01-18, which is the date when the organization was assigned this unique identifier.
As of what date were the Edgewood Missoula Senior Living Llc's details last updated?
The information pertaining to the Edgewood Missoula Senior Living Llc, including its address, specialty, and other details, was most recently updated on 2008-01-18.
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