| NPI | 1144636051 |
|---|---|
| Former Legal Business Name | THERESA JORGENSON |
| Entity Type | Organization |
| Authorized Contact | THERESA ANN JORGENSON Administrator 701-363-2203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2014-07-11 |