| NPI | 1184801516 |
|---|---|
| Doing Business As | EAST PLAINVIEW |
| Entity Type | Organization |
| Authorized Contact | JON E LARSON Executive Director 701-255-2851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2020-11-03 |