Provider Home Care
In Home Supportive Care Agency in Bismarck, ND(View on Map)
Legal Business Name
Provider Home Care
NPI Number
1720834195
NPI Type
Organization
Enumeration Date
04/26/2024
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
114 E INDIANA AVE
114 E INDIANA AVE
City
Bismarck
Bismarck
State
ND
ND
Postal Code
58504-5769
58504-5769
Country
US
US
Telephone Number
(701) 202-8033
(701) 202-8033
Authorized Official
Name
Enoch Nweyada
Title or Position
OWNER
Telephone Number
(701) 202-8033
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/15/2024
Provider Address
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