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Villa Nazareth
Intellectual Disabilities Intermediate Care Facility in Grafton, North Dakota
NPI 1316113590

Villa Nazareth is a Intellectual Disabilities Intermediate Care Facility based in Fargo, ND. Villa Nazareth practices in Grafton, ND. The NPI Number for Villa Nazareth is 1316113590 and holds a License No. 30858 (North Dakota).

The current practice location address for Villa Nazareth is 412 E 10Th St, Grafton, ND and can be reached out via phone at 701-352-1249 and via fax at 701-352-0371. You can also correspond with Villa Nazareth through the mailing address at 801 PAGE DR S, FARGO, ND - 58103-2315 (mailing address contact number: 701-235-8217).

Location: 412 E 10Th St, Grafton, ND, 58103-2315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316113590
Provider Name
Villa Nazareth
Credential
Provider Entity Type
Organization
Address
412 E 10Th St, Grafton, ND, 58103-2315
Phone Number
701-352-1249
Fax Number
701-352-0371
Provider Enumeration Date
05/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30858 05 ND
institution
Provider Business Practice Location Address Details
Address
412 E 10Th St
City
Grafton
State
North Dakota
Zip
58237-1531
Phone Number
701-352-1249
Fax Number
701-352-0371
person
Provider Business Mailing Address Details
Address
412 E 10Th St
City
Grafton
State
North Dakota
Zip
58237-1531
Phone Number
701-352-1249
Fax Number
701-352-0371
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
30858 (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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