Hermantown Valley Elder Care
NPI #1104150044 in Hermantown, Minnesota
Provider Information
- NPI Number
- 1104150044
- Entity Type
- Organization
- Organization Name
- Hermantown Valley Elder Care
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Sep 24, 2009
- Last Updated
- Sep 24, 2009
Practice Location
- Address
- 5140 WAGNER RD
- City
- Hermantown
- State
- Minnesota
- ZIP Code
- 55810-2543
- Phone
- (218) 729-9831
Authorized Official
- Name
- MR. TIMOTHY RUSSELL MAJCHRZAK SR.
- Title
- OWNER
- Phone
- (218) 729-9831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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