1203 GROUPHOME

MANDAN, ND
NPI1407153059
Entity TypeOrganization
Authorized ContactMIKE REMBOLDT
CEO
701-633-0379
Organization Subpart ?Yes
Primary Taxonomy315P00000X Intermediate Care Facility, Intellectual Disabilities
Enumeration Date2011-02-17
Last Update Date2024-04-17
Business Address
1203 GROUPHOME
1203 7TH AVE SE
MANDAN, ND 58554
Phone number: 701-667-6168
Mailing Address
1203 GROUPHOME
201 4TH AVE NW
MANDAN, ND 58554-3135
Phone number: