Organization
SMILING ANGEL HOME CARE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXINE MONICA GORDON (PRESIDENT)
(701) 226-0456
Entity
Organization
Contact information
Practice address
1413 N 35TH ST UNIT 3, BISMARCK, ND 58501-7714
(701) 226-0456
(701) 751-2753
Mailing address
1413 N 35TH ST UNIT 3, BISMARCK, ND 58501-7714
(701) 226-0456
(701) 751-2753
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
37790100
ND
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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