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1720834195
PROVIDER HOME CARE
BISMARCK, ND
NPI
1720834195
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Entity Type
Organization
Authorized Contact
ENOCH NWEYADA
Owner
701-202-8033
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2024-04-26
Last Update Date
2024-05-15
Business Address
PROVIDER HOME CARE
114 E INDIANA AVE
BISMARCK, ND 58504-5769
Phone number: 701-202-8033
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Mailing Address
PROVIDER HOME CARE
114 E INDIANA AVE
BISMARCK, ND 58504-5769
Phone number: 701-202-8033
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