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Organization
NEXA HOME CONNECT
Active
Organization
NEXA HOME CONNECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRSTIN RUTH BRATT-JOHNSON (CO-CEO)
(612) 888-6392
Entity
Organization
Contact information
Practice address
1806 IRVING AVE N, MINNEAPOLIS, MN 55411-3155
(612) 888-6392
Mailing address
1806 IRVING AVE N, MINNEAPOLIS, MN 55411-3155
(612) 888-6392
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
04/27/2023
Last updated
11/07/2023
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