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Organization

REST EASY AT HOME HEALTH CARE AGENCY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WANDA FULTON HOCKENBERGER (OWNER)
(651) 342-2478
Entity
Organization

Contact information

Practice address
1825 CURVE CREST BLVD W, 200, STILLWATER, MN 55082-5090
(651) 342-2478
(651) 342-0282
Mailing address
1825 CURVE CREST BLVD W, 200, STILLWATER, MN 55082-5090
(651) 342-2478
(651) 342-0282

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
30914
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1548674039
MN
Enumeration date
01/26/2015
Last updated
01/26/2015
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