Healthcare Provider Details

I. General information

NPI: 1871429811
Provider Name (Legal Business Name): LADWENA DONNETTE RAGSDALE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 31ST AVE SE LOT 704
MINOT ND
58701-7199
US

IV. Provider business mailing address

800 31ST AVE SE LOT 704
MINOT ND
58701-7199
US

V. Phone/Fax

Practice location:
  • Phone: 661-428-1357
  • Fax:
Mailing address:
  • Phone: 661-428-1357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: