Way Of Life | |
222 4th St N Fargo ND 58102-4818 | |
(701) 581-5199 | |
Not Available |
Full Name | Way Of Life |
---|---|
Speciality | Case Management |
Location | 222 4th St N, Fargo, North Dakota |
Authorized Official Name and Position | Sheyenne Puetz (OWNER) |
Authorized Official Contact | 7015815199 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Way Of Life 1709 13th Ave S Fargo ND 58103-3812 Ph: () - | Way Of Life 222 4th St N Fargo ND 58102-4818 Ph: (701) 581-5199 |
NPI Number | 1851168975 |
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Provider Enumeration Date | 12/08/2023 |
Last Update Date | 12/26/2023 |
Certification Date | 12/26/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851168975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
251B00000X | Case Management | (* (Not Available)) | Primary |
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