ANNE CARLSEN CENTER NPI 1326172412

NPI Information

ANNE CARLSEN CENTER is an intermediate care facility mentally retarded in Jamestown, ND. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. ANNE CARLSEN CENTER NPI is 1326172412. The provider is registered as an organization entity type.

The provider's business location address is:

701 3RD ST NW
JAMESTOWN, ND
ZIP 58401-963
Phone: (701) 252-3850
Fax: (701) 952-5154

The provider's authorized official is Tim Eissinger .
The authorized official title is Ceo and has the following contact phone number (017) 952-5187.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 2/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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