Organization
AWESOME INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA SCHUMACHER (PRESIDENT)
(701) 318-2133
Entity
Organization
Contact information
Practice address
6020 53RD AVE S UNIT E, FARGO, ND 58104-5762
(701) 356-5090
(701) 356-5091
Mailing address
6020 53RD AVE S UNIT E, FARGO, ND 58104-5762
(701) 356-5090
(701) 356-5091
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
171WH0202X
Home Modifications Contractor
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
10/21/2024
Last updated
12/09/2024
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