Baho Residential Care LLC

NPI #1871352872 in Jamestown, North Dakota

Provider Information

NPI Number: 1871352872
Entity Type: Organization
Organization Name: Baho Residential Care LLC
Primary Specialty: In Home Supportive Care
Enumeration Date: Mar 13, 2024
Last Updated: Mar 13, 2024

Practice Location

Address: 715 10TH ST NE APT 201
City: Jamestown
State: North Dakota
ZIP Code: 58401-3456
Phone: (704) 890-1186

Authorized Official

Name: FRED RWIGEMA, MD
Title: MANAGING DIRECTOR
Phone: (704) 890-1186

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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