OrganizationActive
4th Corporation
NPI 1750559035 · Intellectual Disabilities Intermediate Care Facility · New Rockford, ND
Provider details
- NPI number
- 1750559035
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Kodi Keller, Business Manager
- License
- ND01161 (ND)
Mailing address
120 11th St N
New Rockford, ND 58356-1434
Registry dates
- Enumerated
- 2008-02-20
- Last updated
- 2008-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.