Organization
CITIES CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR LELYUKH (PRESIDENT)
(952) 607-0171
Entity
Organization
Contact information
Practice address
2405 STONECREST PATH NW, PRIOR LAKE, MN 55372-4004
(952) 607-0171
Mailing address
2405 STONECREST PATH NW, PRIOR LAKE, MN 55372-4004
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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