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Jonta Delisa Tidwell
Home Health Agency in Fargo, North Dakota
NPI 1912524273

Jonta Delisa Tidwell is a Home Health Agency based in Fargo, ND. Jonta Delisa Tidwell practices in Fargo, ND. The NPI Number for Jonta Delisa Tidwell is 1912524273 and holds a License No. (North Dakota).

The current practice location address for Jonta Delisa Tidwell is 3026 18Th St S, Fargo, ND and can be reached out via phone at 480-286-8603.

Location: 3026 18Th St S, Fargo, ND, 58103-6716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912524273
Provider Name
Jonta Delisa Tidwell
Credential
Provider Entity Type
Individual
Gender
Female
Address
3026 18Th St S, Fargo, ND, 58103-6716
Phone Number
480-286-8603
Fax Number
Provider Enumeration Date
07/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3026 18Th St S
City
Fargo
State
North Dakota
Zip
58103-6716
Phone Number
480-286-8603
Fax Number
person
Provider Business Mailing Address Details
Address
3026 18Th St S
City
Fargo
State
North Dakota
Zip
58103-6716
Phone Number
480-286-8603
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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