| NPI | 1760268221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS DENNIS-SAMPSON Owner 701-388-1866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |