Dream Living Services LLC

Organization Active NPI Community/Behavioral Health Agency · Fargo, ND

NPI 1790484657 · NPPES record last updated Mar 1, 2023

Key facts

NPI
1790484657
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
DREAM LIVING SERVICES LLC
Practice address
7220 28TH St S
Fargo, ND 58104-4589
Phone
(701) 213-2222
NPI assigned
Mar 1, 2023
Organization subpart
No

Authorized official

Name
Shankar Ezom
Title
Marketing Manager
Phone
(701) 730-8269

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Dream Living Services LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator
Group: 193200000X MULTI-SPECIALTY GROUP
171M00000X
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

7220 28TH St S
Fargo, ND 58104-4589

Mailing address

7220 28TH St S
Fargo, ND 58104-4589
Phone (701) 213-2222

Other providers in Fargo, ND

All providers in Fargo, ND · Community/Behavioral Health Agency in North Dakota

Sources for this page

Verify at the official NPI Registry.