Organization

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)

Code

253Z00000X

Primary Taxonomy

Yes

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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