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Organization
LIFE LONG DEVOTION LLC
Active
Organization
LIFE LONG DEVOTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED OMAR (CEO)
(801) 673-5781
Entity
Organization
Contact information
Practice address
4140 4TH AVE S APT 1105, FARGO, ND 58103-1193
(801) 673-5781
Mailing address
PO BOX 10003, FARGO, ND 58106-0003
(801) 673-5781
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
12/04/2024
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