Organization
HENNEPIN HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMELIA MATA (PRESIDENT/ADMINISTRATOR)
(763) 425-5959
Entity
Organization
Contact information
Practice address
8590 EDINBURGH CENTER DR, BROOKLYN PARK, MN 55443-3723
(763) 425-5959
(763) 425-5929
Mailing address
8590 EDINBURGH CENTER DR, BROOKLYN PARK, MN 55443-3723
(763) 425-5959
(763) 425-5929
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
328275
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
485717800
—
MN
Enumeration date
10/25/2005
Last updated
10/27/2015
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