Athanor Housing and Residential Services INC
NPI #1104532993 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1104532993
- Entity Type
- Organization
- Organization Name
- Athanor Housing and Residential Services INC
- Primary Specialty
- Home Health
- Enumeration Date
- Jan 25, 2023
- Last Updated
- Mar 14, 2023
Practice Location
- Address
- 266 WINIFRED ST E
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55107-2330
- Phone
- (651) 600-0701
Authorized Official
- Name
- PHINEAS VANG
- Title
- PRESIDENT
- Phone
- (651) 399-1224
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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