VILLA NAZARETH NPI 1326215377

NPI Information

VILLA NAZARETH is an intermediate care facility mentally retarded in Fargo, 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. VILLA NAZARETH NPI is 1326215377. The provider is registered as an organization entity type.
The provider Is Doing Business As Friendship Inc.

The provider's business location address is:

1635 34TH AVE S
FARGO, ND
ZIP 58104-123
Phone: (701) 280-9750
Fax: (701) 232-6021

The provider's authorized official is Dave Keeler .
The authorized official title is Cfo and has the following contact phone number (701) 235-8217.

The enumeration date for this NPI number is 5/9/2008 and was last updated on 5/9/2008.

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:

Other Identifiers

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