# LILY'S OF THE VALLEY HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Executive Home Healthcare llc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164103586
- **Authorized official:** SAHARLA DAHIR EID RN (OWNER)
- **Authorized official phone:** (170) 194-1006

## Contact information

- **Practice address:** 2601 18TH ST S, FARGO, ND 58103-6603
- **Practice address phone:** (701) 941-0062
- **Mailing address:** 2601 18TH ST S, FARGO, ND 58103-6603
- **Mailing address phone:** (701) 941-0062

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2023
- **Last updated:** 09/02/2025