Organization
INTEGRA HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIMITRIY PAPKOV RN (PRESIDENT)
(952) 985-0672
Entity
Organization
Contact information
Practice address
17645 JUNIPER PATH STE 115, LAKEVILLE, MN 55044-7490
(952) 985-0672
(952) 985-0578
Mailing address
17645 JUNIPER PATH STE 115, LAKEVILLE, MN 55044-7490
(952) 985-0672
(952) 985-0578
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
330472
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233651100
—
MN
Enumeration date
12/15/2006
Last updated
06/12/2024
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