# ACTIVE GLORY HEALTH CARE

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

## Provider details

- **NPI number:** 1326955600
- **Authorized official:** MISS JANET JENEBA MASON CNA (CEO/FOUNDER)
- **Authorized official phone:** (386) 315-1170

## Contact information

- **Practice address:** 901 10TH ST S, FARGO, ND 58103-3101
- **Practice address phone:** (386) 315-1170
- **Mailing address:** 901 10TH ST S, FARGO, ND 58103-3101
- **Mailing address phone:** (386) 315-1170

## Taxonomy

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

## Other

- **Enumeration date:** 08/25/2026
- **Last updated:** 08/25/2026