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1150 Group Home
Intellectual Disabilities Intermediate Care Facility in Mandan, North Dakota
NPI 1548782790

1150 Group Home is a Intellectual Disabilities Intermediate Care Facility based in Mandan, ND. 1150 Group Home practices in Mandan, ND. The NPI Number for 1150 Group Home is 1548782790 and holds a License No. (North Dakota).

The current practice location address for 1150 Group Home is 1150 N. Collins Aveue, Mandan, ND and can be reached out via phone at 701-663-0379. You can also correspond with 1150 Group Home through the mailing address at 1007 18TH ST NW, MANDAN, ND - 58554-1639 (mailing address contact number: 701-663-0379).

Location: 1150 N. Collins Aveue, Mandan, ND, 58554-1639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548782790
Provider Name
1150 Group Home
Credential
Provider Entity Type
Organization
Address
1150 N. Collins Aveue, Mandan, ND, 58554-1639
Phone Number
701-663-0379
Fax Number
Provider Enumeration Date
07/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1150 N. Collins Aveue
City
Mandan
State
North Dakota
Zip
58554
Phone Number
701-663-0379
Fax Number
person
Provider Business Mailing Address Details
Address
1150 N. Collins Aveue
City
Mandan
State
North Dakota
Zip
58554
Phone Number
701-663-0379
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(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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