Organization
MARTHA HOUSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AISHA HASSAN RN (CO-OWNER)
(202) 506-0640
Entity
Organization
Contact information
Practice address
1861 PRESERVE CT, SHAKOPEE, MN 55379-8063
(612) 474-4180
Mailing address
2349 KELM ST, CHASKA, MN 55318-3231
(612) 474-4180
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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