NPI 1669884151 · live from the CMS NPI Registry
Aegis Therapies
Skilled Nursing Facility in Moorhead, MN. National Provider Identifier 1669884151, active.
NPI record
| NPI | 1669884151 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 2810 2nd Ave N, Moorhead, MN 56560 |
| Practice phone | 701-306-9580 |
| Mailing address | 601 10th Ave W, West Fargo, ND 58078 |
| Enumerated | June 2, 2014 |
| Last updated | June 2, 2014 |
| Authorized official | Shauna Nelson, Occupational Therapist |
| Other names | Golden Living Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility | 314000000X | 104123 (MN) |
| Skilled Nursing Facility primary | 314000000X | 453 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.