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1215256078
EVENTIDE JAMESTOWN LLC
JAMESTOWN, ND
NPI
1215256078
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Entity Type
Organization
Authorized Contact
WADE E STUBSON
CFO
218-291-2216
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2010-05-19
Last Update Date
2011-04-11
Business Address
EVENTIDE JAMESTOWN LLC
1300 2ND PL NE
JAMESTOWN, ND 58401-3709
Phone number: 218-233-7508
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Mailing Address
EVENTIDE JAMESTOWN LLC
1405 7TH ST S
MOORHEAD, MN 56560-3444
Phone number: 218-233-7508
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