Healthcare Provider Details

I. General information

NPI: 1043912967
Provider Name (Legal Business Name): SISTERS OF MARY OF THE PRESENTATION LONG TERM CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2023
Last Update Date: 04/08/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

979 CENTRAL AVE N
VALLEY CITY ND
58072-2149
US

IV. Provider business mailing address

979 CENTRAL AVE N
VALLEY CITY ND
58072-2149
US

V. Phone/Fax

Practice location:
  • Phone: 701-845-8222
  • Fax:
Mailing address:
  • Phone: 701-845-8222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JON AUS
Title or Position: FINANCE DIRECTOR
Credential:
Phone: 701-845-8202