Provider Demographics
NPI:1619387909
Name:HHC SERIVCES ND, INC.
Entity Type:Organization
Organization Name:HHC SERIVCES ND, INC.
Other - Org Name:GRISWOLD HOME CARE OF FARGO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GILLELAND
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:701-850-2000
Mailing Address - Street 1:4302 13TH AVE S
Mailing Address - Street 2:SUITE 4-375
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-3395
Mailing Address - Country:US
Mailing Address - Phone:701-850-2000
Mailing Address - Fax:
Practice Address - Street 1:819 30TH AVE S
Practice Address - Street 2:SUITE 203
Practice Address - City:MOORHEAD
Practice Address - State:MN
Practice Address - Zip Code:56560-5000
Practice Address - Country:US
Practice Address - Phone:701-850-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care