Organization
LILY'S OF THE VALLEY HOME CARE LLC
Active
Other names
Executive Home Healthcare llc
Organization subpart
No
Provider details
NPI number
Authorized official
SAHARLA DAHIR EID RN (OWNER)
(170) 194-1006
Entity
Organization
Contact information
Practice address
2601 18TH ST S, FARGO, ND 58103-6603
(701) 941-0062
Mailing address
2601 18TH ST S, FARGO, ND 58103-6603
(701) 941-0062
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
09/02/2025
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