| NPI | 1992671325 |
|---|---|
| Other Name | GIDI |
| Entity Type | Organization |
| Authorized Contact | BERTHA SERWA AYI President 701-970-0145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| 283X00000X Rehabilitation Hospital | |
| 291U00000X Clinical Medical Laboratory | |
| 292200000X Dental Laboratory | |
| 293D00000X Physiological Laboratory | |
| 310400000X Assisted Living Facility | |
| 311Z00000X Custodial Care Facility | |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |