Provider Demographics
NPI:1811781115
Name:GREATER GRAND FORKS SENIOR CITIZENS ASSOC, INC.
Entity type:Organization
Organization Name:GREATER GRAND FORKS SENIOR CITIZENS ASSOC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:COLETTE
Authorized Official - Middle Name:KIM
Authorized Official - Last Name:ISEMINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LRD
Authorized Official - Phone:701-772-7245
Mailing Address - Street 1:620 4TH AVE S
Mailing Address - Street 2:
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58201-4534
Mailing Address - Country:US
Mailing Address - Phone:701-772-7245
Mailing Address - Fax:701-772-0213
Practice Address - Street 1:620 4TH AVE S
Practice Address - Street 2:
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58201-4534
Practice Address - Country:US
Practice Address - Phone:701-772-7245
Practice Address - Fax:701-772-0213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals
No253Z00000XAgenciesIn Home Supportive Care