Eventide Senior Living Communities Llc
Legal Business Name
Eventide Senior Living Communities Llc
NPI Number
1407984081
NPI Type
Organization
Enumeration Date
03/02/2007
Specialties
(Taxonomies)Code
311500000X
310400000X
Primary Taxonomy
No
No
Licenses
State
North Dakota
North Dakota
License Number
8100A
63
Contact
Information
Purpose
Mailing
Location
Address
1405 7TH ST S
225 13TH AVENUE WEST
City
Moorhead
West Fargo
State
MN
ND
Postal Code
56560-3444
58078
Country
US
US
Telephone Number
(218) 233-7508
(701) 478-6000
Authorized Official
Name
Mr. Wade Stubson
Title or Position
CFO
Telephone Number
(218) 291-22216
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/22/2020