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PROVIDENCE HOME CARE L.L.C

Intellectual & Developmental Disabilities Psychologist

NPI: 1861006439Organization

Specialties, Licenses & Credentials

Home Health Registered Nurse

Registered Nurse — Home Health

Code: 163WH0200X

Developmentally Disabled Services Day Training Agency

Day Training, Developmentally Disabled Services

Code: 251C00000X

In Home Supportive Care Agency

In Home Supportive Care

Code: 253Z00000X

Chore Provider

Chore Provider

Code: 372500000X

Adult Companion

Adult Companion

Code: 372600000X

Day Training/Habilitation Specialist

Day Training/Habilitation Specialist

Code: 373H00000X

Home Health Aide

Home Health Aide

Code: 374U00000X

Nurse's Aide

Nurse's Aide

Code: 376K00000X

Intellectual & Developmental Disabilities PsychologistPrimary

Psychologist — Intellectual & Developmental Disabilities

Code: 103TM1800X

Contact & Hours

Address
3965 4TH ST E
WEST FARGO, ND 58078

Quick Facts

NPI
1861006439
Entity Type
Organization
Medicare
Not confirmed
Specialties
9
Locations
1

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