# SHANGRI-LA HOME CARE

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

## Provider details

- **NPI number:** 1467153593
- **Authorized official:** SUMAN MONGER (CEO)
- **Authorized official phone:** (701) 205-7598

## Contact information

- **Practice address:** 3483 47TH AVE S, FARGO, ND 58104-7768
- **Practice address phone:** (701) 205-7598
- **Mailing address:** 3483 47TH AVE S, FARGO, ND 58104-7768
- **Mailing address phone:** (701) 205-7598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2023
- **Last updated:** 03/15/2023