Organization
INTERCOMMUNITY HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTI MOORE (ADMINISTRATOR)
(612) 435-0283
Entity
Organization
Contact information
Practice address
2625 E FRANKLIN AVE STE LL2, MINNEAPOLIS, MN 55406-1195
(612) 435-0283
Mailing address
2625 E FRANKLIN AVE STE LL2, MINNEAPOLIS, MN 55406-1195
(612) 435-0283
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A143132000
—
MN
Enumeration date
11/05/2010
Last updated
11/05/2010
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