Organization · NPI-2

Active At Home Helpers

Home Health · Fargo, ND

NPI number1841742434
StatusActive
Last updated in NPPESOct 29, 2016

Details

NPI
1841742434
Entity type
Organization (NPI-2)
Legal business name
Active At Home Helpers
Organization subpart
No
Enumeration date
Oct 29, 2016
Last updated
Oct 29, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health1456069NDYes

Practice location

417 Main Ave
Fargo, ND 58103-1956

Phone 701-540-3483

Mailing address

417 Main Ave
Fargo, ND 58103-1956

Phone 701-540-3483

Authorized official

Jerret Scott Thiseth
Owner
7015403483

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