Organization
PETERSON TCS LLC
Active
Other names
Healthy at Home, Comfort Keepers
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL K PETERSON (OWNER)
(701) 237-0004
Entity
Organization
Contact information
Practice address
1205 4TH AVE S, FARGO, ND 58103-8210
(701) 237-0004
(701) 237-0029
Mailing address
1205 4TH AVE S, FARGO, ND 58103-8210
(701) 237-0004
(701) 237-0029
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
336384
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1456810
—
ND
05
—
994613600
—
MN
Enumeration date
04/30/2008
Last updated
04/22/2020
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