| Life Management Resources | |
|
400 12th Ave Ne Devils Lake ND 58301-2712 | |
| (701) 665-5433 | |
| Not Available |
| Full Name | Life Management Resources |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 400 12th Ave Ne, Devils Lake, North Dakota |
| Authorized Official Name and Position | Maryjane Blanchfield (CEO) |
| Authorized Official Contact | 7016655433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Management Resources 400 12th Ave Ne Devils Lake ND 58301-2712 Ph: (701) 665-5433 | Life Management Resources 400 12th Ave Ne Devils Lake ND 58301-2712 Ph: (701) 665-5433 |
| NPI Number | 1104089648 |
|---|---|
| Provider Enumeration Date | 07/03/2008 |
| Last Update Date | 07/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104089648 | NPI | - | NPPES |
| 19193 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 603 (North Dakota) | Primary |
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