Organization
MINNETA CARE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER W BLIDI PHD (MANAGER)
(215) 578-0853
Entity
Organization
Contact information
Practice address
11149 IDAHO CT N, CHAMPLIN, MN 55316-3324
(215) 578-0853
Mailing address
11149 IDAHO CT N, CHAMPLIN, MN 55316-3324
(215) 578-0853
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
11/18/2024
Last updated
11/20/2024
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