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Organization

UNDER MY WING PROFESSIONAL SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN MARI BEDELL (OWNER)
(763) 221-0504
Entity
Organization

Contact information

Practice address
2746 BAKER AVE NW, BUFFALO, MN 55313-4450
(763) 221-0504
Mailing address
2746 BAKER AVE NW, BUFFALO, MN 55313-4450
(763) 221-0504

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
174200000X
Meals Provider
177F00000X
Lodging Provider
253Z00000X
In Home Supportive Care Agency
372500000X
Chore Provider
Primary
372600000X
Adult Companion
374U00000X
Home Health Aide
385H00000X
Respite Care

Other

Enumeration date
05/01/2025
Last updated
05/01/2025
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