Individual
REBECCA LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
30244
ND
314000000X
Skilled Nursing Facility
30244
ND
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
30244
ND
Other
Enumeration date
07/21/2026
Last updated
07/21/2026
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