Legendary Homecare Agency
In Home Supportive Care in Dickinson, ND. Organization (NPI-2).
NPI number1831908169
StatusActive
Last updated in NPPESJan 2, 2025
Details
- NPI
- 1831908169
- Entity type
- Organization (NPI-2)
- Legal business name
- Legendary Homecare Agency
- Organization subpart
- No
- Enumeration date
- Jan 2, 2025
- Certification date
- Jan 2, 2025
- Last updated
- Jan 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Other names
- Legendary Homecare Agency (Former Legal Business Name)
Practice location
2593 4th St W Apt 308Dickinson, ND 58601-2447
Phone 215-485-2276
Mailing address
2593 4th St W Apt 308Dickinson, ND 58601-2447
Phone 215-485-2276
Authorized official
Ernest Galison Gibson
Administrator
2154852276
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All 12 In Home Supportive Care Agency providers in Dickinson · All 954 providers in Dickinson
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