Organization
MAMA HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONIFACE MAKUNYI (GENERAL MANAGER)
(480) 886-7148
Entity
Organization
Contact information
Practice address
510 6TH AVENUE N, STE B, FARGO, ND 58102
(480) 886-7148
Mailing address
510 6TH AVENUE N, STE B, FARGO, ND 58102
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/26/2024
Last updated
06/12/2025
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