1203 Grouphome
1203 Grouphome is an Intellectual Disabilities Intermediate Care Facility in Mandan, North Dakota. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
1203 7th Ave SEMandan, ND 58554
Phone: (701) 667-6168
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X |
|---|
Record details
| NPI number | 1407153059 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Hit Inc |
| Authorized official | Mike Remboldt — Ceo · (701) 633-0379 |
| NPI enumerated | February 17, 2011 |
| Last updated in NPPES | April 17, 2024 |
| Certification date | April 17, 2024 |
| Mailing address | 201 4th Ave Nw, Mandan, ND 58554-3135 |
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