Sholom Community Alliance Home Health Care
NPI #1295704005 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1295704005
- Entity Type
- Organization
- Organization Name
- Sholom Community Alliance Home Health Care
- Primary Specialty
- Home Health
- Enumeration Date
- Mar 15, 2006
- Last Updated
- May 14, 2019
Practice Location
- Address
- 3620 PHILLIPS PARKWAY
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55426-3700
- Phone
- (952) 935-6311
Authorized Official
- Name
- DOUGLAS WYCKOFF
- Title
- CONTROLLER
- Phone
- (952) 939-1637
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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