Life Skills and Transition Center Dental
Organization Active NPI Mental Illness Intermediate Care Facility · Grafton, ND
NPI 1295869501 · NPPES record last updated Dec 10, 2020
Key facts
- NPI
- 1295869501
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Intermediate Care Facility 310500000X
- Legal business name
- LIFE SKILLS AND TRANSITION CENTER DENTAL
- Practice address
- 701 W 6TH St
Grafton, ND 58237-1379 - Phone
- (701) 352-4200
- NPI assigned
- Mar 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Donna Aukland
- Title
- Assistant Cfo - DHS
- Phone
- (701) 328-4924
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Developmental Center Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Intermediate Care Facility | 310500000X | Yes |
Addresses
Primary practice location
701 W 6TH St
Grafton, ND 58237-1379
Mailing address
701 W 6TH St
Grafton, ND 58237-1379
Phone (701) 352-4200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41297 | Medicaid | ND |
Other providers in Grafton, ND
- Tammy Rae Lee
- Lyndsey Rae Leehan
- Life Skills and Transition Center
- Life Skills and Transition Center
- Life Skills and Transition Center
- Lighthouse Optical Inc.
- Alex G Lindell
- Karissa Lindseth
- Summer Linke
- Natalie Lee Lopez
All providers in Grafton, ND · Mental Illness Intermediate Care Facility in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.