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Villa Nazareth

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.

physician-icon Basic Information

Practice Location 605 Hilltop Dr, Park River, ND 58270-4204, US
Practice Location Phone701-284-6353
Practice Location Fax701-284-7548
Legal Business NameVILLA NAZARETH
Other Organization NameFRIENDSHIP INC
Other Organization Name TypeDoing Business As Name
NPI ?1326215369
Entity TypeOrganization
Enumeration Date ? May 9, 2008
Last Update Date ? May 9, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Villa Nazareth

SpecialtySpecializationLicenseLicense State
Intermediate Care Facility, Mentally Retarded 35003North Dakota

legacy-id-icon Legacy Provider IDs of Villa Nazareth

Provider IdIssuer StateIssuer TypeIssuer
30860North DakotaMedicaid

official-icon 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/PositionCFO
Authorized Official Phone Number701-235-8217