Individual
VIOLA BEULAH LONGIE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3796 BIA ROAD 6, BELCOURT, ND 58316-3892
(701) 550-9654
Mailing address
PO BOX 1196, BELCOURT, ND 58316-1196
(701) 550-9654
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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