Organization
LIFE INSURANCE AGENCY, INC.
Active
Other names
Home Healthcare Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TUBTSHWM WASHINGTON YANG (PRESIDENT)
(952) 388-7128
Entity
Organization
Contact information
Practice address
2489 RICE ST STE 295, SUITE 295, ROSEVILLE, MN 55113-3738
(952) 388-7128
(800) 532-1684
Mailing address
2489 RICE ST STE 295, SUITE 295, ROSEVILLE, MN 55113-3738
(952) 388-7128
(800) 532-1684
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
251F00000X
Home Infusion Agency
—
MN
253Z00000X
In Home Supportive Care Agency
—
MN
Other
Enumeration date
09/16/2012
Last updated
03/14/2016
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