Provider Demographics
NPI:1134437932
Name:GOLDEN MANOR INC
Entity type:Organization
Organization Name:GOLDEN MANOR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:HENRIK
Authorized Official - Last Name:STEINOLFSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-475-2251
Mailing Address - Street 1:214 4TH ST. NW
Mailing Address - Street 2:
Mailing Address - City:STEELE
Mailing Address - State:ND
Mailing Address - Zip Code:58482
Mailing Address - Country:US
Mailing Address - Phone:701-475-2251
Mailing Address - Fax:701-475-2250
Practice Address - Street 1:214 4TH STREET NW
Practice Address - Street 2:
Practice Address - City:STEELE
Practice Address - State:ND
Practice Address - Zip Code:58482-7317
Practice Address - Country:US
Practice Address - Phone:701-258-5993
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility