| NPI | 1518137009 |
|---|---|
| Other Name | EASTWOOD GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | MIKE REMBOLDT CEO 701-663-0379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2024-04-17 |