Individual
LOREN RHOADS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5030 39TH AVE NW, MANDAN, ND 58554-1213
(701) 570-0289
Mailing address
5030 39TH AVE NW, MANDAN, ND 58554-1213
(701) 570-0289
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1456164
—
ND
Enumeration date
11/14/2020
Last updated
11/14/2020
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