1140 GROUPHOME

MANDAN, ND
NPI1437690609
Entity TypeOrganization
Authorized ContactMIKE REMBOLDT
CEO
701-667-8612
Organization Subpart ?Yes
Primary Taxonomy315P00000X Intermediate Care Facility, Intellectual Disabilities
Enumeration Date2017-03-20
Last Update Date2024-04-17
Business Address
1140 GROUPHOME
1140 COLLINS AVE
MANDAN, ND 58554
Phone number: 701-663-0379
Mailing Address
1140 GROUPHOME
201 4TH AVE NW
MANDAN, ND 58554-3135
Phone number: 701-663-0379