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Organization
JALIDIA HOME CARE LLC
Active
Organization
JALIDIA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TITA SMITH (OWNER)
(215) 817-3981
Entity
Organization
Contact information
Practice address
3514 28TH AVE S APT 204, FARGO, ND 58103-6204
(215) 817-3981
Mailing address
3514 28TH AVE S APT 204, FARGO, ND 58103-6204
(215) 817-3981
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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