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Organization
BAHO RESIDENTIAL CARE LLC
Active
Organization
BAHO RESIDENTIAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED RWIGEMA MD (MANAGING DIRECTOR)
(704) 890-1186
Entity
Organization
Contact information
Practice address
715 10TH ST NE APT 201, JAMESTOWN, ND 58401-3456
(704) 890-1186
Mailing address
715 10TH ST NE APT 201, JAMESTOWN, ND 58401-3456
(704) 890-1186
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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