Organization
PRAIRIE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAIMA S AWES (OWNER)
(952) 992-0043
Entity
Organization
Contact information
Practice address
6239 XERXES AVE S, RICHFIELD, MN 55423-1034
(952) 992-0043
(612) 721-9031
Mailing address
6239 XERXES AVE S, RICHFIELD, MN 55423-1034
(952) 992-0043
(612) 721-9031
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MN
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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