Organization
IWA HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADA QUEE (OWNER)
(701) 809-8225
Entity
Organization
Contact information
Practice address
11670 FOUNTAINS DR STE 200, MAPLE GROVE, MN 55369-7195
(701) 809-8225
Mailing address
11670 FOUNTAINS DR STE 200, MAPLE GROVE, MN 55369-7195
(701) 809-8225
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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