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NPI 1487929089 · Custodial Care Facility · Wahpeton, ND
Provider details
- NPI number
- 1487929089
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Barbara Boock, Administrator(701) 642-4283
- License
- 8033A (ND)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
714 4th St N
Wahpeton, ND 58075-3939
Phone: (701) 642-4283
Fax: (701) 642-1500
Approximate (ZIP-level) locationGet directions
Mailing address
714 4th St N
Wahpeton, ND 58075-3939
Registry dates
- Enumerated
- 2012-03-14
- Last updated
- 2012-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.