Organization
IN HOUSE SENIOR SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE LEE WECKWERTH (RCM MANAGER)
(612) 200-8029
Entity
Organization
Contact information
Practice address
6625 LYNDALE AVE S STE 105, RICHFIELD, MN 55423-2673
(612) 788-8778
(612) 869-3473
Mailing address
6625 LYNDALE AVE S STE 300, RICHFIELD, MN 55423-2491
(612) 243-8999
(612) 869-3473
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
213E00000X
Podiatrist
Primary
631
MN
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
631
MN
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083962294
—
MN
05
—
1083962294
—
WI
01
—
C09267
MEDICARE PTAN
MN
Enumeration date
08/17/2012
Last updated
02/10/2026
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