Illiuminated Home Health Care Llc.
NPI #1902953474 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1902953474
- Entity Type
- Organization
- Organization Name
- Illiuminated Home Health Care Llc.
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jan 5, 2007
- Last Updated
- Jun 24, 2008
Practice Location
- Address
- 175 CHARLES AVE
- Address 2
- 328
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55103-2054
- Phone
- (952) 261-9935
Authorized Official
- Name
- MR. WILLIAM B. DAVIS
- Title
- PRESIDENT
- Phone
- (952) 261-9935
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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