# EMMA-PROVIDENCE LLC

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

## Provider details

- **NPI number:** 1821914540
- **Authorized official:** MARIE TENIN DORE (CEO)
- **Authorized official phone:** (862) 218-9941

## Contact information

- **Practice address:** 4054 51ST WAY S, FARGO, ND 58104-6080
- **Practice address phone:** (862) 218-9941
- **Mailing address:** 4054 51ST WAY S, FARGO, ND 58104-6080
- **Mailing address phone:** (862) 218-9941

## Taxonomy

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

## Other

- **Enumeration date:** 06/26/2026
- **Last updated:** 06/26/2026