Organization · NPI-2

Active Glory Health Care

In Home Supportive Care · Fargo, ND

NPI number1326955600
StatusActive
Last updated in NPPESAug 25, 2026

Details

NPI
1326955600
Entity type
Organization (NPI-2)
Legal business name
Active Glory Health Care
Organization subpart
No
Enumeration date
Aug 25, 2026
Certification date
Aug 24, 2026
Last updated
Aug 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

901 10th St S
Fargo, ND 58103-3101

Phone 386-315-1170

Mailing address

901 10th St S
Fargo, ND 58103-3101

Phone 386-315-1170

Authorized official

Janet Jeneba Mason
Ceo/Founder
3863151170

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