| NPI | 1508611211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINICK GAUDIN Owner 701-729-2370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |