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Organization

SOUTHERN LIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA ADDAE-ABOAGYE (CEO)
(706) 254-6417
Entity
Organization

Contact information

Practice address
4466 47TH ST S APT 309, FARGO, ND 58104-4368
(706) 254-6417
Mailing address
PO BOX 9472, FARGO, ND 58106-9472
(706) 254-6417

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
07/22/2024
Last updated
07/22/2024
About Stedi
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