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Villa Nazareth
Intellectual Disabilities Intermediate Care Facility in Fargo, North Dakota
NPI 1598931784

Villa Nazareth is a Intellectual Disabilities Intermediate Care Facility based in Fargo, ND. Villa Nazareth practices in Fargo, ND. The NPI Number for Villa Nazareth is 1598931784 and holds a License No. 30844 (North Dakota).

The current practice location address for Villa Nazareth is 2502 33Rd Ave S, Fargo, ND and can be reached out via phone at 701-232-3352 and via fax at 701-232-6189.

Location: 2502 33Rd Ave S, Fargo, ND, 58103-2315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598931784
Provider Name
Villa Nazareth
Credential
Provider Entity Type
Organization
Address
2502 33Rd Ave S, Fargo, ND, 58103-2315
Phone Number
701-232-3352
Fax Number
701-232-6189
Provider Enumeration Date
05/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30844 05 ND
institution
Provider Business Practice Location Address Details
Address
2502 33Rd Ave S
City
Fargo
State
North Dakota
Zip
58104-8801
Phone Number
701-232-3352
Fax Number
701-232-6189
person
Provider Business Mailing Address Details
Address
2502 33Rd Ave S
City
Fargo
State
North Dakota
Zip
58104-8801
Phone Number
701-232-3352
Fax Number
701-232-6189
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
30844 (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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