Organization
HOME BRIDGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELLEN MAUTI (ADMINISTRATOR)
(763) 300-5820
Entity
Organization
Contact information
Practice address
14946 QUINTANA ST NW, RAMSEY, MN 55303-6644
(763) 300-5820
Mailing address
14946 QUINTANA ST NW, RAMSEY, MN 55303-6644
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39283
—
MN
Enumeration date
02/02/2023
Last updated
03/03/2023
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