Edgewood Mitchell LLC

Assisted Living Facility · Mitchell, SD

Organization Active NPI

NPI number 1770004996

Practice location

501 East Spruce Street
Mitchell, SD 57301
Phone
(701) 738-2000

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NPI record

NPI
1770004996
Entity type
Organization (Type 2)
Enumeration date
June 28, 2017
Last updated
June 28, 2017
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Assisted Living Facility Primary 310400000X — SD

Mailing address

322 Demers Ave Ste 500
Grand Forks, ND 58201
Phone
(701) 757-5410
Fax
(701) 738-2001

Authorized official

Name
Mr. Rex Carlson
Title
Exec VP, CFO, Treasurer
Phone
(701) 757-5463

About Edgewood Mitchell LLC

Edgewood Mitchell LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Assisted Living Facility (code 310400000X). The practice location is 501 East Spruce Street, Mitchell, SD 57301. The NPI number 1770004996 was assigned on June 28, 2017 and the record was last updated on June 28, 2017.

The authorized official for this organization is Mr. Rex Carlson, Exec VP, CFO, Treasurer.

Frequently asked questions

What is the NPI number of Edgewood Mitchell LLC?

The NPI number is 1770004996.

What is the phone number of Edgewood Mitchell LLC?

The phone number listed for the practice location is (701) 738-2000.

Where is Edgewood Mitchell LLC located?

501 East Spruce Street, Mitchell, SD 57301.

What is the taxonomy code for Edgewood Mitchell LLC?

The primary taxonomy code is 310400000X – Assisted Living Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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