Organization
ULTIMATE SENIOR HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMOUD ERBOB (OWNER/MANAGER)
(122) 143-6536
Entity
Organization
Contact information
Practice address
122 23RD ST S STE F8, FARGO, ND 58103-1300
(612) 214-3653
Mailing address
122 23RD ST S STE F8, FARGO, ND 58103-1300
(612) 214-3653
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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