# ULTIMATE SENIOR HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134715873
- **Authorized official:** MOHAMOUD ERBOB (OWNER/MANAGER)
- **Authorized official phone:** (122) 143-6536

## Contact information

- **Practice address:** 122 23RD ST S STE F8, FARGO, ND 58103-1300
- **Practice address phone:** (612) 214-3653
- **Mailing address:** 122 23RD ST S STE F8, FARGO, ND 58103-1300
- **Mailing address phone:** (612) 214-3653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/16/2020
- **Last updated:** 12/16/2020