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Organization

PENNEH ISSIE HOME HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ANTHONY J KABA (DIRECTOR)
(763) 321-0809
Entity
Organization

Contact information

Practice address
19141 JOHNSON ST NW, ELK RIVER, MN 55330-7088
(763) 321-0809
Mailing address
19141 JOHNSON ST NW, ELK RIVER, MN 55330-7088
(763) 321-0809

Taxonomy

Speciality
Code
Description
License number
State
364SH0200X
Home Health Clinical Nurse Specialist
374U00000X
Home Health Aide
Primary

Other

Enumeration date
02/14/2026
Last updated
02/14/2026
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