Organization
HOME HEALTH CARE, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZINAIDA KOMAROV (OFFICE MANAGER)
17634178888
Entity
Organization
Contact information
Practice address
800 BOONE AVE N, SUITE 200, GOLDEN VALLEY, MN 55427-4468
(176) 341-7888
Mailing address
800 BOONE AVE N, SUITE 200, GOLDEN VALLEY, MN 55427-4468
(176) 341-7888
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
331986
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278872100
—
MN
Enumeration date
08/29/2006
Last updated
03/23/2012
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