| NPI | 1902404957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WALD CEO 701-255-6503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2021-01-19 |