Prevent 7

NPI #1457611386 in Blaine, Minnesota

Provider Information

NPI Number
1457611386
Entity Type
Organization
Organization Name
Prevent 7
Primary Specialty
Home Health
Enumeration Date
May 25, 2012
Last Updated
May 25, 2012

Practice Location

Address
2426 TOURNAMENT PLAYERS CIR S
City
Blaine
ZIP Code
55449-5502
Phone
(612) 889-2031

Authorized Official

Name
MR. NICKOLAS JAMES MICEK, MSW
Title
DIRECTOR
Phone
(612) 889-2031

Specialties & Taxonomy Codes

Specialty
Case Management
Hospice Care, Community Based
Voluntary or Charitable
Home Health

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