Organization
Active
Other names
The Garson Group
Organization subpart
No
Provider details
NPI number
Authorized official
NEHEMIAH OTTO GARLEY (DIRECTOR)
(763) 250-3079
Entity
Organization
Contact information
Practice address
10907 XYLON LN N, CHAMPLIN, MN 55316-3712
(763) 250-3079
Mailing address
10907 XYLON LN N, CHAMPLIN, MN 55316-3712
(763) 250-3079
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01291977
PCA
MN
05
—
01291977
—
MN
Enumeration date
06/02/2022
Last updated
06/02/2022
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