Organization
NORTH DAKOTA ASSISTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA M ELLINGSON (BUSINESS MANAGER)
(701) 365-4728
Entity
Organization
Contact information
Practice address
3240 15TH ST S STE B, FARGO, ND 58104-6188
(701) 365-4728
(701) 365-6242
Mailing address
3240 15TH ST S STE B, FARGO, ND 58104-6188
(701) 365-4728
(701) 365-6242
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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