Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edgewood Lakewood Mandan, LLC

Organization Assisted Living Facility · NPI 1841015583

Edgewood Lakewood Mandan, LLC is an Assisted Living Facility in Mandan, North Dakota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4401 21st St SE
Mandan, ND 58554-6425
Phone: (701) 738-2000
Fax: (701) 738-2001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1841015583
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Dybwad — Vp Finance/Budget · (701) 757-5422
NPI enumeratedNovember 18, 2024
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024
Mailing addressPo Box 13238, Grand Forks, ND 58208-3238

Other providers in Mandan