Healthcare Provider Details

I. General information

NPI: 1740138155
Provider Name (Legal Business Name): SLICKS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2026
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1531 32ND AVE S STE 102
FARGO ND
58103-5911
US

IV. Provider business mailing address

1531 32ND AVE S STE 102
FARGO ND
58103-5911
US

V. Phone/Fax

Practice location:
  • Phone: 701-581-4544
  • Fax: 701-581-4544
Mailing address:
  • Phone: 701-581-4544
  • Fax: 701-581-4544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER RENSHAW
Title or Position: OWNER/OPERATOR
Credential: CARE COORDINATOR
Phone: 701-581-4544