Organization
ATHANOR HOUSING AND RESIDENTIAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHINEAS VANG (PRESIDENT)
(651) 399-1224
Entity
Organization
Contact information
Practice address
266 WINIFRED ST E, SAINT PAUL, MN 55107-2330
(651) 600-0701
(651) 705-7060
Mailing address
266 WINIFRED ST E, SAINT PAUL, MN 55107-2330
(651) 600-0701
(651) 705-7060
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/25/2023
Last updated
03/14/2023
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