Organization
COLLECTIVE CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC C HARRIS BSHA, NCMA (CEO)
(240) 535-7188
Entity
Organization
Contact information
Practice address
4357 13TH AVE S STE 107, FARGO, ND 58103-7506
(701) 997-9157
Mailing address
4357 13TH AVE S STE 107, FARGO, ND 58103-7506
(701) 997-9157
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/26/2023
Last updated
01/09/2026
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