Organization
LEGEND MENTALITY
Active
Other names
1ACCESS2HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERTHA SERWA AYI MD (PRESIDENT)
(701) 970-0145
Entity
Organization
Contact information
Practice address
3547 47TH AVE S, FARGO, ND 58104-7767
(701) 970-0667
(701) 532-0698
Mailing address
3547 47TH AVE S, FARGO, ND 58104-7767
(701) 970-0667
(701) 532-0698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336S0011X
Specialty Pharmacy
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
376K00000X
Nurse's Aide
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
10/10/2025
Last updated
11/10/2025
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