Organization
DREAM LIVING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISHNA PRASAD BHETWAL (SERVICES DIRECTOR)
(701) 630-9912
Entity
Organization
Contact information
Practice address
7220 28TH ST S, FARGO, ND 58104-4589
(701) 630-9912
Mailing address
7220 28TH ST S, FARGO, ND 58104-4589
(701) 630-9912
Taxonomy
Speciality
Code
Description
License number
State
2278H0200X
Home Health Certified Respiratory Therapist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
07/21/2022
Last updated
08/22/2022
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