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Organization
ZACHARY HOME HEALTH CORPORATION
Active
Organization
ZACHARY HOME HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR A BANGURA RN (PRESIDENT)
(651) 452-8174
Entity
Organization
Contact information
Practice address
680 SUMMER LN, EAGAN, MN 55123-3014
(651) 452-1834
Mailing address
680 SUMMER LN, EAGAN, MN 55123-3014
(651) 452-1834
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
1034780-3-CFC
MN
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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