| NPI | 1992464127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAWLID A. MOHAMED Owner 701-215-9232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |