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Organization

SUPERIOR HOME CARE NURSING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. HOWARD GIST JONES JR. (MEMBER)
(952) 898-5400
Entity
Organization

Contact information

Practice address
10603 165TH ST W, LAKEVILLE, MN 55044-3514
(952) 898-5400
(952) 898-5454
Mailing address
10603 165TH ST W, LAKEVILLE, MN 55044-3514
(952) 898-5400
(952) 898-5454

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
11/25/2015
Last updated
11/25/2015
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