Organization · NPI-2
Balance Home Care LLC
Home Health · Moorhead, MN
NPI number1376112243
StatusActive
Last updated in NPPESJun 23, 2021
Details
- NPI
- 1376112243
- Entity type
- Organization (NPI-2)
- Legal business name
- Balance Home Care LLC
- Organization subpart
- No
- Enumeration date
- Jun 23, 2021
- Certification date
- Jun 23, 2021
- Last updated
- Jun 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
819 30th Ave S Ste 203Moorhead, MN 56560-5054
Phone 701-541-5975
Mailing address
819 30th Ave S Ste 203Moorhead, MN 56560-5054
Phone 701-541-5975
Authorized official
Fadumo Ibrahim
Owner
7015415975
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