# GAYLAH HOMECARE SERVICE LLC

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

## Provider details

- **NPI number:** 1679280085
- **Authorized official:** GLADYS GAYLAH (OWNER)
- **Authorized official phone:** (701) 946-2863

## Contact information

- **Practice address:** 5410 37TH AVE S, FARGO, ND 58104-7825
- **Practice address phone:** (701) 946-2863
- **Mailing address:** 5410 37TH AVE S, FARGO, ND 58104-7825
- **Mailing address phone:** (701) 946-2863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 11/04/2022
- **Last updated:** 11/04/2022