Lake Region Human Service Center
Clinic/Center, Developmental Disabilities in Devils Lake, ND. Organization (NPI-2).
NPI number1124069331
StatusActive
Last updated in NPPESDec 10, 2020
Details
- NPI
- 1124069331
- Entity type
- Organization (NPI-2)
- Legal business name
- Lake Region Human Service Center
- Organization subpart
- No
- Enumeration date
- Jun 9, 2006
- Certification date
- Dec 10, 2020
- Last updated
- Dec 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | Yes |
Practice location
200 Highway 2 WDevils Lake, ND 58301-3532
Phone 701-665-2200 · Fax 701-665-2300
Mailing address
200 Hwy 2 WDevils Lake, ND 58301-3532
Phone 701-665-2200 · Fax 701-665-2300
Authorized official
Donna Aukland
Assistant Cfo - Dhs
7013284924
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