Organization
OPEN PATHS PCA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVIRGAREA HOOPER (OWNER)
(612) 242-2418
Entity
Organization
Contact information
Practice address
3536 27TH AVE S, MINNEAPOLIS, MN 55406-2508
(612) 242-2418
Mailing address
3536 27TH AVE S, MINNEAPOLIS, MN 55406-2508
(612) 242-2418
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
621610
HOME HEALTH CARE
MN
Enumeration date
01/08/2016
Last updated
01/08/2016
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