Organization
HOME CARE SPECIALITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELLA BWARI ONYAMBU (OWNER)
(763) 302-9930
Entity
Organization
Contact information
Practice address
901 TWELVE OAKS CENTER DR, # 914, WAYZATA, MN 55391-4701
(763) 302-9930
Mailing address
901 TWELVE OAKS CENTER DR STE 914, WAYZATA, MN 55391-4710
(763) 302-9930
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
379624
MN
Other
Enumeration date
01/18/2017
Last updated
03/13/2017
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