Organization
DUNGARVIN MINNESOTA LLC
Active
Parent organization
DUNGARVIN GROUP, INC.
Other names
Dungarvin Minnesota Home Health Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DUNGARVIN GROUP, INC.
Authorized official
LORI KRESS (CEO)
(651) 699-0206
Entity
Organization
Contact information
Practice address
1440 NORTHLAND DR STE 100, MENDOTA HEIGHTS, MN 55120-1028
(651) 699-6050
(651) 699-7265
Mailing address
1444 NORTHLAND DR STE 200, MENDOTA HEIGHTS, MN 55120-1032
(651) 699-0206
(651) 699-0799
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24-8106
CMS CERTIFICATION NUMBER (CCN)
MN
Enumeration date
08/26/2005
Last updated
04/26/2023
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