Organization
ANGEL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHOUVIENG SIVILAY (PRESIDENT)
(612) 508-8743
Entity
Organization
Contact information
Practice address
10038 LEE DR, EDEN PRAIRIE, MN 55347-4804
(612) 508-8743
(800) 710-2348
Mailing address
10038 LEE DR, EDEN PRAIRIE, MN 55347-4804
(612) 508-8743
(800) 710-2348
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Enumeration date
11/16/2010
Last updated
12/28/2010
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