OrganizationActive
Evergreen Dickinson, LLC
NPI 1316143175 · Custodial Care Facility · Dickinson, ND
Provider details
- NPI number
- 1316143175
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Vickie Cofer, Asst. Director(701) 483-6606
- License
- 8054A (ND)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
2143 6th Ave W
Dickinson, ND 58601-2700
Phone: (701) 483-6606
Approximate (ZIP-level) locationGet directions
Mailing address
2143 6th Ave W
Dickinson, ND 58601-2700
Registry dates
- Enumerated
- 2007-06-26
- Last updated
- 2008-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.