# PRAIRIE HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114325867
- **Authorized official:** NAIMA S AWES (OWNER)
- **Authorized official phone:** (952) 992-0043

## Contact information

- **Practice address:** 6239 XERXES AVE S, RICHFIELD, MN 55423-1034
- **Practice address phone:** (952) 992-0043
- **Practice address fax:** (612) 721-9031
- **Mailing address:** 6239 XERXES AVE S, RICHFIELD, MN 55423-1034
- **Mailing address phone:** (952) 992-0043
- **Mailing address fax:** (612) 721-9031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | MN | Yes |

## Other

- **Enumeration date:** 12/11/2014
- **Last updated:** 12/11/2014