Individual
PRAISE OKEADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 4TH AVE SE, GWINNER, ND 58040-4356
(832) 258-9822
Mailing address
410 4TH AVE SE, GWINNER, ND 58040-4356
(832) 258-9822
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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