# UNIVERSAL HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1487129623
- **Authorized official:** MELLEN B SUTTON (DIRECTOR /REGISTERED NURSE.)
- **Authorized official phone:** (763) 843-1255

## Contact information

- **Practice address:** 1359 KNOLL DR, SHAKOPEE, MN 55379-4624
- **Practice address phone:** (763) 843-1255
- **Practice address fax:** (651) 571-0018
- **Mailing address:** 1359 KNOLL DR, SHAKOPEE, MN 55379-4624
- **Mailing address phone:** (763) 843-1255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2018
- **Last updated:** 04/29/2019