Organization · Type 2 NPI
Providence Home Care L.l.c
Intellectual & Developmental Disabilities Psychologist · West Fargo, ND
NPI number
1861006439
Active
Practice location
3965 4th St E
West Fargo, ND 58078-2865
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual & Developmental Disabilities Psychologist Primary | 103TM1800X | None listed |
| Home Health Registered Nurse | 163WH0200X | None listed |
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Chore Provider | 372500000X | None listed |
| Adult Companion | 372600000X | None listed |
| Day Training/Habilitation Specialist | 373H00000X | None listed |
| Home Health Aide | 374U00000X | None listed |
| Nurse's Aide | 376K00000X | None listed |
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About NPI 1861006439
Providence Home Care L.l.c's National Provider Identifier is 1861006439, issued on Sep 1, 2020. The primary taxonomy on file is Intellectual & Developmental Disabilities Psychologist (103TM1800X), and the practice location is in West Fargo, ND. The record was last updated on Feb 24, 2022.