Organization
DIVERSEY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WINONNA PALO RN (CARE MANAGER/OWNER)
(952) 388-7368
Entity
Organization
Contact information
Practice address
6631 URBANDALE LN N, MAPLE GROVE, MN 55311-1374
(952) 388-7368
Mailing address
6631 URBANDALE LN N, MAPLE GROVE, MN 55311-1374
(952) 388-7368
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
360193
MN
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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