Organization
SPECTRUM HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HORNER (DIRECTOR)
(701) 355-0603
Entity
Organization
Contact information
Practice address
1006 E CENTRAL AVE STE B, BISMARCK, ND 58501-1936
(701) 355-0603
(701) 355-0609
Mailing address
1006 E CENTRAL AVE STE B, BISMARCK, ND 58501-1936
(701) 355-0603
(701) 355-0609
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1456517
—
ND
Enumeration date
11/10/2020
Last updated
11/10/2020
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