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

Edgewood Mandan, LLC

Organization Assisted Living Facility · NPI 1306243647

Edgewood Mandan, LLC is an Assisted Living Facility in Mandan, North Dakota. Licensed in North Dakota. Registered with an NPI since 2014.

Licensed in
ND
In the registry since
2014
Specialties on file
2
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

2801 39th Ave SE
Mandan, ND 58554-6430
Phone: (701) 663-5664
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL68 (ND)
Assisted Living Facility Taxonomy 310400000X · Licence 88 (ND)

Record details

NPI number1306243647
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ron Whetter — Vp Finance/Budget · (218) 230-5953
NPI enumeratedDecember 2, 2014
Last updated in NPPESDecember 2, 2014
Mailing address322 Demers Ave, Suite 500, Grand Forks, ND 58201-4754

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