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Villa Nazareth
Intellectual Disabilities Intermediate Care Facility in Park River, North Dakota
NPI 1134395395

Villa Nazareth is a Intellectual Disabilities Intermediate Care Facility based in Fargo, ND. Villa Nazareth practices in Park River, ND. The NPI Number for Villa Nazareth is 1134395395 and holds a License No. 30859 (North Dakota).

The current practice location address for Villa Nazareth is 503 Hilltop Dr, Park River, ND and can be reached out via phone at 701-284-6453 and via fax at 701-284-7548.

Location: 503 Hilltop Dr, Park River, ND, 58103-2315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134395395
Provider Name
Villa Nazareth
Credential
Provider Entity Type
Organization
Address
503 Hilltop Dr, Park River, ND, 58103-2315
Phone Number
701-284-6453
Fax Number
701-284-7548
Provider Enumeration Date
05/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30859 05 ND
institution
Provider Business Practice Location Address Details
Address
503 Hilltop Dr
City
Park River
State
North Dakota
Zip
58270-4203
Phone Number
701-284-6453
Fax Number
701-284-7548
person
Provider Business Mailing Address Details
Address
503 Hilltop Dr
City
Park River
State
North Dakota
Zip
58270-4203
Phone Number
701-284-6453
Fax Number
701-284-7548
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
30859 (North Dakota)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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