Organization
FAITH RESTORED ENTERPRISE LLC
Active
Parent organization
FAITH RESTORED ENTERPRISE LLC
Other names
FAITH RESTORED TRANSIT
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAITH RESTORED ENTERPRISE LLC
Authorized official
GRACE JAYLEE CLARKE BSN, MPH (OWNER)
(267) 971-8143
Entity
Organization
Contact information
Practice address
5509 36TH AVE S, FARGO, ND 58104-5216
(267) 971-8143
Mailing address
5509 36TH AVE S, FARGO, ND 58104-5216
(267) 971-8143
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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