NPI Code Details Logo

NPI 1740138155

NPI 1740138155 : SLICKS, LLC : FARGO, ND

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1740138155
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    SLICKS, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/20/2026
-----------------------------------------------------
    Last Update Date     |    03/20/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1531 32ND AVE S STE 102 
-----------------------------------------------------
    City                 |    FARGO
-----------------------------------------------------
    State                |    ND
-----------------------------------------------------
    Zip                  |    58103-5911
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    701-581-4544
-----------------------------------------------------
    Fax                  |    701-581-4544
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1531 32ND AVE S STE 102 
-----------------------------------------------------
    City                 |    FARGO
-----------------------------------------------------
    State                |    ND
-----------------------------------------------------
    Zip                  |    58103-5911
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    701-581-4544
-----------------------------------------------------
    Fax                  |    701-581-4544
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER/OPERATOR
-----------------------------------------------------
    Name                 |     CHRISTOPHER  RENSHAW 
-----------------------------------------------------
    Credential           |    CARE COORDINATOR
-----------------------------------------------------
    Telephone            |    701-581-4544
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    171M00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Manager/Care Coordinator
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.