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North Dakota Assistive

In Home Supportive Care in Fargo, ND. Organization (NPI-2).

NPI number1164020749
StatusActive
Last updated in NPPESOct 15, 2020

Details

NPI
1164020749
Entity type
Organization (NPI-2)
Legal business name
North Dakota Assistive
Organization subpart
No
Enumeration date
Oct 15, 2020
Certification date
Oct 15, 2020
Last updated
Oct 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

3240 15th St S Ste B
Fargo, ND 58104-6188

Phone 701-365-4728 · Fax 701-365-6242

Mailing address

3240 15th St S Ste B
Fargo, ND 58104-6188

Phone 701-365-4728 · Fax 701-365-6242

Authorized official

Sheila M Ellingson
Business Manager
7013654728

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