Organization
EXECUTIVE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REZARTA DIBRA (OWNER)
(215) 205-2610
Entity
Organization
Contact information
Practice address
1001 15TH AVE SE, MINOT, ND 58701-5946
(215) 205-2610
Mailing address
1001 15TH AVE SE, MINOT, ND 58701-5946
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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