Organization
STUARTCO
Active
Other names
Shepard Park Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MOE (CEO)
(952) 948-9500
Entity
Organization
Contact information
Practice address
2235 ROCKWOOD AVE, SAINT PAUL, MN 55116-3175
(651) 698-3954
(651) 698-4013
Mailing address
1000 W 80TH ST, MINNEAPOLIS, MN 55420-1009
(952) 948-9500
(952) 948-9570
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Enumeration date
10/30/2011
Last updated
10/30/2011
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