4TH CORPORATION

NPI: 1750559035 · Organization · Active

Primary Specialty

Intellectual Disabilities Intermediate Care Facility
Intermediate Care Facility, Intellectual Disabilities

Practice Location

120 11TH ST N
NEW ROCKFORD, ND 58356-1434 Map ↗
Phone: 701-947-2147

All Specialties & Licenses

  • Intellectual Disabilities Intermediate Care Facility Primary (license: ND01161, ND)

NPI Registration

Enumerated: 2008-02-20

Last CMS Update: 2008-02-20