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Organization

KING DAVID HOME HEALTH CARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BONITA L. ADAMS CEO (CEO)
(651) 459-5023
Entity
Organization

Contact information

Practice address
7758 JANERO COURT SOUTH, COTTAGE GROVE, MN 55016
(651) 459-5023
(651) 769-0788
Mailing address
7758 JANERO COURT SOUTH, COTTAGE GROVE, MN 55016
(651) 459-5023
(651) 769-0788

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
323248
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
323923000
MINNESOTA HEALTH CARE
MN
Enumeration date
07/20/2007
Last updated
07/29/2008
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