Providence Home Care L.l.c is a Mental Retardation & Developmental Disabilities - Psychology Clinic in West Fargo, North Dakota. It is located at 3965 4th St E, West Fargo, ND and its contact number is 701-709-0799. The authorized person for Providence Home Care L.l.c is Kojo Alexander
who is C.f.o of the clinic and his/her contact number is 701-709-0799. Providence Home Care L.l.c Clinic
Complete Clinic Profile:
Providence Home Care L.l.c Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
3965 4th St E, West Fargo, North Dakota, 58078-2865
Phone:
701-709-0799
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Kojo Alexander
Position:
C.f.o
Contact Number:
701-709-0799
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Providence Home Care L.l.c clinic are as mentioned below.
NPI Number:
1861006439
NPI Enumeration Date:
01 Sep, 2020
NPI Last Update On:
24 Feb, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Home Care L.l.c are as mentioned below.
Specialization
License Number
State
Status
Mental Retardation & Developmental Disabilities
Primary
Home Health
Secondary
Day Training, Developmentally Disabled Services
Secondary
In Home Supportive Care
Secondary
Chore Provider
Secondary
Adult Companion
Secondary
Day Training/habilitation Specialist
Secondary
Home Health Aide
Secondary
Nurse's Aide
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Providence Home Care L.l.c 3965 4th St E, West Fargo, North Dakota
Zip:
58078-2865
Phone Number:
701-709-0799
Patients can reach Providence Home Care L.l.c at 3965 4th St E, West Fargo, North Dakota or can call to book an appointment on 701-709-0799. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.