# AHIMSA ROSE INC

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

## Provider details

- **NPI number:** 1568822641
- **Authorized official:** CAMILLA FLOM LPN (VICE PRESIDENT)
- **Authorized official phone:** (218) 686-1673

## Contact information

- **Practice address:** 2605 11TH ST N, SAINT CLOUD, MN 56303-2415
- **Practice address phone:** (218) 686-1673
- **Mailing address:** 2605 11TH ST N, SAINT CLOUD, MN 56303-2415
- **Mailing address phone:** (218) 686-1673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 1080510-1-HCBS | MN | Yes |

## Other

- **Enumeration date:** 03/02/2016
- **Last updated:** 03/02/2016