| NPI | 1588410930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH NANEY KING Dsp Staff 701-527-6019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 376J00000X Homemaker | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-06-11 |