| NPI | 1053287706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERTHA SERWA AYI President 701-970-0145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 251S00000X Community/Behavioral Health | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| 251F00000X Home Infusion | |
| 376K00000X Nurse's Aide | |
| 207R00000X Internal Medicine | |
| 251E00000X Home Health | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 251G00000X Hospice Care, Community Based | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-11-10 |