Individual
PAY SOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
848 ASPEN CIR, LITTLE CANADA, MN 55109-1003
(651) 398-1728
(651) 436-2349
Mailing address
848 ASPEN CIR, LITTLE CANADA, MN 55109-1003
(651) 398-1728
(651) 436-2349
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A741158800
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
562366725
HOME HEALTH CARE AGENCY
MN
Enumeration date
04/21/2017
Last updated
04/21/2017
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