Organization
817 MARSHALL AVE
Active
Organization
817 MARSHALL AVE
Active
Other names
Key's To Best Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANNA ROXANNE PITTMAN RN (PRIVTE DUTY NURSE)
(763) 202-8808
Entity
Organization
Contact information
Practice address
817 MARSHALL AVE, SAINT PAUL, MN 55104-6651
(763) 202-8808
(651) 291-2739
Mailing address
817 MARSHALL AVE, SAINT PAUL, MN 55104-6651
(763) 202-8808
(651) 291-2739
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
R171403-6
MN
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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