Organization
FARGOCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILI KONGA JOSEPH RN, BSN (OWNER)
(253) 266-8327
Entity
Organization
Contact information
Practice address
5601 34TH AVE S APT 235, FARGO, ND 58104-7312
(253) 266-8327
Mailing address
5601 34TH AVE S APT 235, FARGO, ND 58104-7312
(253) 266-8327
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
05/14/2025
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