IndividualActive
Blair Wanner
NPI 1053097139 · In Home Supportive Care Agency · Bismarck, ND
Provider details
- NPI number
- 1053097139
- Entity type
- Individual
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
519 Lansing Ln
Bismarck, ND 58504-6563
Phone: (701) 223-5217
Approximate (ZIP-level) locationGet directions
Mailing address
412 W Reno Ave
Bismarck, ND 58504-6247
Additional practice locations (1)
- 412 W Reno AveBismarck, ND 58504-6247Phone: (701) 223-3781
Registry dates
- Enumerated
- 2023-06-23
- Last updated
- 2023-06-23
- Certified
- 2023-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.