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Organization

DAKOTA PREMIER HOME CARE

Active
Other names
Dakota Premier Home Care LLC
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERTA KORKOR GARNETT-MOMO MD (DIRECTOR OF NURSING)
(701) 390-0168
Entity
Organization

Contact information

Practice address
2108 EASTBAY DR SE, MANDAN, ND 58554-6271
(646) 427-6612
Mailing address
2108 EASTBAY DR SE, MANDAN, ND 58554-6271
(646) 427-6612

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
08/14/2019
Last updated
08/14/2019
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