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NPI Code Detail

MEDICARE: RACHEAL LEIGH POITRA

MEDICARE:   RACHEAL LEIGH POITRA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care AgencyND
2310400000XAssisted Living FacilityND
3311Z00000XCustodial Care Facility
4311ZA0620XAdult Care Home FacilityND
5374700000XTechnicianND
63747A0650XAttendant Care ProviderND
73747P1801XPersonal Care AttendantND

General Provider Information

NPI Number : 1437007580
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEAL LEIGH POITRA
Provider Business Mailing Address
First Line : 2500 LAWNDALE RD
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-6143
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 LAWNDALE RD
Second Line :
City : GRAND FORKS
State : ND
Zip : 58201-6143
Country : US
Telephone Number : 701-550-7646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 06/08/2026

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Directions to “ RACHEAL LEIGH POITRA ” Practice Location

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