Unknown Organization

NPI #1114666559 in Champlin, Minnesota

Provider Information

NPI Number
1114666559
Entity Type
Organization
Organization Name
Unknown Organization
Primary Specialty
Home Health
Enumeration Date
Jun 2, 2022
Last Updated
Jun 2, 2022

Practice Location

Address
10907 XYLON LN N
ZIP Code
55316-3712
Phone
(763) 250-3079

Authorized Official

Name
NEHEMIAH OTTO GARLEY
Title
DIRECTOR
Phone
(763) 250-3079

Specialties & Taxonomy Codes

Specialty
Home Health

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