Villa Nazareth is a health care provider in Fargo, ND. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location|| 605 Hilltop Dr, Park River, ND 58270-4204, US |
|Practice Location Phone||701-284-6353|
|Practice Location Fax||701-284-7548|
|Legal Business Name||VILLA NAZARETH|
|Other Organization Name||FRIENDSHIP INC|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||May 9, 2008|
|Last Update Date ? ||May 9, 2008|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Villa Nazareth
|Specialty||Provider Type||Specialization||License||License State|
|Intermediate Care Facility, Mentally Retarded||Nursing & Custodial Care Facilities|| ||35003||North Dakota|
Legacy Provider IDs of Villa Nazareth
|Provider Id||Issuer State||Issuer Type||Issuer|
Authorized Official of Villa Nazareth
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Villa Nazareth's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official ||Mr. Dave Keeler|
|Authorized Official Title/Position||CFO|
|Authorized Official Phone Number||701-235-8217|