Organization
TARGET HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLLY ATA PEPPER (CEO)
(701) 793-8464
Entity
Organization
Contact information
Practice address
112 UNIVERSITY DR N STE 112, FARGO, ND 58102-4659
(701) 793-8464
Mailing address
112 UNIVERSITY DR N STE 112, FARGO, ND 58102-4659
(701) 793-8464
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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