Organization
LIFELINE ADULT DAY CARE CENTER LLC
Active
Other names
LIFELINE ADULT DAY CARE CENTER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KHADRA JAMA (CEO)
(701) 541-4647
Entity
Organization
Contact information
Practice address
2512 7TH AVE S STE F1, FARGO, ND 58103-8747
(701) 541-4647
Mailing address
2512 7TH AVE S STE F1, FARGO, ND 58103-8747
(701) 541-4647
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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