EVENTIDE FARGO LLC

FARGO, ND
NPI1164809562
Entity TypeOrganization
Authorized ContactWADE E STUBSON
CFO
218-291-2216
Organization Subpart ?No
Primary Taxonomy314000000X Skilled Nursing Facility
Enumeration Date2015-05-05
Last Update Date2016-08-10
Business Address
EVENTIDE FARGO LLC
3225 51ST ST S
FARGO, ND 58104-7180
Phone number: 218-291-2230
Mailing Address
EVENTIDE FARGO LLC
2405 8TH ST S SUITE A
MOORHEAD, MN 56560-4224
Phone number: 218-291-2230
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