Organization
PROVIDENCE HOME CARE L.L.C
Active
Other names
Providence Home Care L.L.C
Organization subpart
No
Provider details
NPI number
Authorized official
KOJO ALEXANDER (DIRECTOR OF OPERATIONS)
(701) 709-0799
Entity
Organization
Contact information
Practice address
3965 4TH ST E, WEST FARGO, ND 58078-2865
(701) 709-0799
Mailing address
3965 4TH ST E, WEST FARGO, ND 58078-2865
(701) 709-0799
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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