Organization
KATE DEES HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHAWN SHAMBLIN (OWNER)
(701) 781-7844
Entity
Organization
Contact information
Practice address
2366 55TH ST S APT 206, FARGO, ND 58104-7625
(312) 404-8184
Mailing address
2366 55TH ST S APT 206, FARGO, ND 58104-7625
(312) 404-8184
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005879966
—
ND
Enumeration date
09/09/2022
Last updated
10/12/2022
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