Prairie Assisted Living Services LLC
Clinic/Center, Primary Care in Bismarck, ND. Organization (NPI-2).
NPI number1033475868
StatusActive
Last updated in NPPESMay 22, 2019
Details
- NPI
- 1033475868
- Entity type
- Organization (NPI-2)
- Legal business name
- Prairie Assisted Living Services LLC
- Organization subpart
- No
- Enumeration date
- Apr 5, 2012
- Last updated
- May 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
4914 Amberglow DrBismarck, ND 58503-8851
Phone 701-226-9804 · Fax 701-751-1307
Mailing address
4914 Amberglow DrBismarck, ND 58503-8851
Phone 701-226-9804 · Fax 701-751-1307
Other practice locations
7938 Stratford Ln
Atlanta, GA 30350-4159
Atlanta, GA 30350-4159
Phone 770-804-9479 · Fax 770-396-7942
Authorized official
Tisha Scheuer
Owner
7012269804
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