| NPI | 1487543617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC C HARRIS Manager 701-997-9157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 251S00000X Community/Behavioral Health | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2026-01-09 |