institution
4th Corporation
Intellectual Disabilities Intermediate Care Facility in New Rockford, North Dakota
NPI 1750559035

4th Corporation is a Intellectual Disabilities Intermediate Care Facility based in New Rockford, ND. 4th Corporation practices in New Rockford, ND. The NPI Number for 4th Corporation is 1750559035 and holds a License No. ND01161 (North Dakota).

The current practice location address for 4th Corporation is 120 11Th St N, New Rockford, ND and can be reached out via phone at 701-947-2147.

Location: 120 11Th St N, New Rockford, ND, 58356-1434
institution
Provider Profile Details
NPI Number
1750559035
Provider Name
4th Corporation
Credential
Provider Entity Type
Organization
Address
120 11Th St N, New Rockford, ND, 58356-1434
Phone Number
701-947-2147
Fax Number
Provider Enumeration Date
02/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30809 05 ND
institution
Provider Business Practice Location Address Details
Address
120 11Th St N
City
State
Zip
58356-1434
Phone Number
701-947-2147
Fax Number
person
Provider Business Mailing Address Details
Address
120 11Th St N
City
State
Zip
58356-1434
Phone Number
701-947-2147
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
ND01161 (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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