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Organization

MANASSEH HOME HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEWEL B JOHNSON (PRESIDENT)
(612) 351-7100
Entity
Organization

Contact information

Practice address
11555 BOULDER CT, MAPLE GROVE, MN 55311-7521
(612) 351-7100
Mailing address
11555 BOULDER CT, MAPLE GROVE, MN 55311-7521
(612) 351-7100

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
251J00000X
Nursing Care Agency

Other

Enumeration date
03/19/2025
Last updated
06/11/2025
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