Organization
PROVIDER HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENOCH NWEYADA MR. ENOCH NWEYADA (OWNER)
(701) 202-8033
Entity
Organization
Contact information
Practice address
114 E INDIANA AVE, BISMARCK, ND 58504-5769
(701) 202-8033
Mailing address
114 E INDIANA AVE, BISMARCK, ND 58504-5769
(701) 202-8033
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
05/15/2024
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