Provider Demographics
NPI:1386523611
Name:M929 HEALING HOUSE
Entity type:Organization
Organization Name:M929 HEALING HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAREGIVER
Authorized Official - Prefix:MS
Authorized Official - First Name:MERILYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:RUZVIDZO
Authorized Official - Suffix:I
Authorized Official - Credentials:HOME HEALTH CARE
Authorized Official - Phone:701-300-2811
Mailing Address - Street 1:929 9TH ST E
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:ND
Mailing Address - Zip Code:58601-6213
Mailing Address - Country:US
Mailing Address - Phone:701-300-2811
Mailing Address - Fax:
Practice Address - Street 1:929 9TH ST E
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:ND
Practice Address - Zip Code:58601-6213
Practice Address - Country:US
Practice Address - Phone:701-300-2811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NONE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-30
Last Update Date:2025-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty