EDGEWOOD BISMARCK SENIOR LIVING LLC NPI 1598936247

NPI Information

EDGEWOOD BISMARCK SENIOR LIVING, LLC is an assisted living facility in Bismarck, ND. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. EDGEWOOD BISMARCK SENIOR LIVING, LLC NPI is 1598936247. The provider is registered as an organization entity type.

The provider's business location address is:

3406 DOMINION ST
BISMARCK, ND
ZIP 58503-577
Phone: (701) 258-7489
Fax: (701) 258-7491

The provider's authorized official is Gene Hysjulien .
The authorized official title is Ceo and has the following contact phone number (701) 738-2000.

The CLIA number assigned to this NPI record is 35D0952043 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2008 and was last updated on 3/20/2008.

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:

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