Organization
KOTA CONNECTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J. MODRYNSKI (OWNER/PRESIDENT)
(952) 469-1555
Entity
Organization
Contact information
Practice address
8500 210TH ST W, SUITE 148, LAKEVILLE, MN 55044-5707
(952) 469-1555
(952) 469-1478
Mailing address
8500 210TH ST W, SUITE 148, LAKEVILLE, MN 55044-5707
(952) 469-1555
(952) 469-1478
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1009867-1-WS
MN
Other
Enumeration date
05/31/2008
Last updated
05/31/2008
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