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Organization
ACTIVE AT HOME HELPERS
Active
Organization
ACTIVE AT HOME HELPERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRET SCOTT THISETH I (OWNER)
(701) 540-3483
Entity
Organization
Contact information
Practice address
417 MAIN AVE, FARGO, ND 58103-1956
(701) 540-3483
Mailing address
417 MAIN AVE, FARGO, ND 58103-1956
(701) 540-3483
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1456069
ND
Other
Enumeration date
10/29/2016
Last updated
10/29/2016
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