| NPI | 1437884574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHNA PRASAD BHETWAL Services Director 701-630-9912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2278H0200X Respiratory Therapist, Certified, Home Health |
| 251B00000X Case Management | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2022-08-22 |