Individual
LEEANN JEAN NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3174 36TH AVE S APT 8, GRAND FORKS, ND 58201-3538
(218) 791-3365
Mailing address
3179 43RD AVE S, GRAND FORKS, ND 58201-6189
(701) 330-4198
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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