OrganizationActive
Edgewood Grand Forks LLC
NPI 1386390672 · Assisted Living Facility · Grand Forks, ND
Provider details
- NPI number
- 1386390672
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- John Dybwad, Vp Finance/Budget(701) 757-5422
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Alzheimer Center (Dementia Center)311500000X
Nursing & Custodial Care Facilities
Practice location
1800 47th Ave S
Grand Forks, ND 58201
Phone: (701) 738-2000
Fax: (701) 738-2001
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 13238
Grand Forks, ND 58208-3238
Registry dates
- Enumerated
- 2022-02-24
- Last updated
- 2024-09-04
- Certified
- 2024-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.