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Organization
SHEBAH HOME HEALTH CARE
Active
Organization
SHEBAH HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TSHILANDA MUTAMBA BSN, RN (DIRECTOR)
(651) 354-1230
Entity
Organization
Contact information
Practice address
3224 139TH AVE NW, ANDOVER, MN 55304-7539
(651) 354-1230
Mailing address
PO BOX 98, ANDOVER, MN 55304-0010
(651) 354-1230
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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