Individual
KASEY OTTILIE ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 5TH AVE SE, JAMESTOWN, ND 58401-4342
(954) 732-0801
Mailing address
PO BOX 1514, JAMESTOWN, ND 58402-1514
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174400000X
Specialist
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/09/2023
Last updated
05/01/2024
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