OrganizationActive
Edgewood Lakewood Mandan, LLC
NPI 1841015583 · Assisted Living Facility · Mandan, ND
Provider details
- NPI number
- 1841015583
- 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
Practice location
4401 21st St Se
Mandan, ND 58554-6425
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
- 2024-11-18
- Last updated
- 2024-11-18
- Certified
- 2024-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.