Organization
KIM HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOANG-KIM NGUYEN (DIRECTOR)
(651) 497-8445
Entity
Organization
Contact information
Practice address
693 JACKSON ST, SAINT PAUL, MN 55101-4306
(651) 497-8445
Mailing address
693 JACKSON ST, SAINT PAUL, MN 55101-4306
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
8686639
MN
Other
Enumeration date
01/17/2007
Last updated
08/22/2020
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