Organization

Edgewood Fargo Senior Living Llc

Alzheimer Center (Dementia Center) in Fargo, ND(View on Map)

Legal Business Name

Edgewood Fargo Senior Living Llc

NPI Number

1588826390

NPI Type

Organization

Enumeration Date

07/02/2008

Specialties

(Taxonomies)

Code

311500000X

Primary Taxonomy

Yes

Licenses

State

North Dakota

License Number

8103A

Contact
Information

Purpose

Mailing
Location

Address

2850 24TH AVE S
4420 37TH AVE S

City

Grand Forks
Fargo

State

ND
ND

Postal Code

58201-5831
58104-3400

Country

US
US

Telephone Number

(701) 738-2000
(701) 365-8200

Authorized Official

Name

Gene Hysjulien

Title or Position

CEO

Telephone Number

(701) 738-2000

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/02/2008

Provider Address

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Organization

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Specialty: Alzheimer Center (Dementia Center) (Primary)

Organization

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Specialties: Alzheimer Center (Dementia Center)Assisted Living Facility