Provider Demographics
NPI:1467622704
Name:TRI CITY CARES, INC.
Entity Type:Organization
Organization Name:TRI CITY CARES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:AADNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-628-2990
Mailing Address - Street 1:15 1ST STREET SE
Mailing Address - Street 2:
Mailing Address - City:STANLEY
Mailing Address - State:ND
Mailing Address - Zip Code:58784
Mailing Address - Country:US
Mailing Address - Phone:701-628-2990
Mailing Address - Fax:
Practice Address - Street 1:709 E EAGLE DR
Practice Address - Street 2:
Practice Address - City:NEW TOWN
Practice Address - State:ND
Practice Address - Zip Code:58763
Practice Address - Country:US
Practice Address - Phone:701-628-2990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization