# MAGMARY HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MagMary Home care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609678952
- **Authorized official:** MICHAELINE YOUNGKENDEH (RN)
- **Authorized official phone:** (610) 803-5827

## Contact information

- **Practice address:** 6605 28TH ST S, FARGO, ND 58104-4633
- **Practice address phone:** (610) 803-5827
- **Mailing address:** 6605 28TH ST S, FARGO, ND 58104-4633
- **Mailing address phone:** (610) 803-5827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/26/2025
- **Last updated:** 06/25/2025