Organization
NORTH COUNTRY HOME CARE II, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA TOTTEN (PRESIDENT)
(763) 856-9955
Entity
Organization
Contact information
Practice address
12567 5TH AVE N # 100, ZIMMERMAN, MN 55398-8451
(763) 856-9955
(763) 856-9956
Mailing address
12567 5TH AVE N # 100, ZIMMERMAN, MN 55398-8451
(763) 856-9955
(763) 856-9956
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
203178700
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A203178700
—
MN
05
—
A652486900
—
MN
Enumeration date
07/23/2007
Last updated
01/10/2023
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