| Dianes Group Home | |
|
304 11th St Ne Mandan ND 58554-2140 | |
| (701) 663-1635 | |
| Not Available |
| Full Name | Dianes Group Home |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 304 11th St Ne, Mandan, North Dakota |
| Authorized Official Name and Position | Mike Remboldt (CEO) |
| Authorized Official Contact | 7016630379 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dianes Group Home 1007 18th St Nw Mandan ND 58554-1639 Ph: (701) 663-0379 | Dianes Group Home 304 11th St Ne Mandan ND 58554-2140 Ph: (701) 663-1635 |
| NPI Number | 1235309063 |
|---|---|
| Provider Enumeration Date | 03/07/2008 |
| Last Update Date | 10/30/2020 |
| Certification Date | 10/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235309063 | NPI | - | NPPES |
| 003200006 | Medicaid | ND | |
| 1455894 | Medicaid | ND |
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