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1942538608
EVENTIDE
WEST FARGO, ND
NPI
1942538608
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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
2009-11-18
Last Update Date
2011-04-11
Business Address
EVENTIDE
125 13TH AVE W
WEST FARGO, ND 58078-3356
Phone number: 701-478-6000
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Mailing Address
EVENTIDE
1405 7TH ST S
MOORHEAD, MN 56560-3444
Phone number: 218-233-7508
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