Individual
MADELINE P CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 HIGHWAY 22 NORTH, MANDAREE, ND 58757
(701) 421-0905
Mailing address
PO BOX 548, MANDAREE, ND 58757-0548
(701) 421-0905
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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