Organization
DISTINCTIVE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JRAWIN VERONICA BOYE-FERNANDEZ RN (CEO/OWNER)
(612) 709-3880
Entity
Organization
Contact information
Practice address
7473 160TH AVE NW, RAMSEY, MN 55303-6623
(612) 709-3880
Mailing address
7473 160TH AVE NW, RAMSEY, MN 55303-6623
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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