Organization
SOUTHERN MINN. HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BARBARA JANE SONTAG (OWNER)
(507) 257-2252
Entity
Organization
Contact information
Practice address
213 PARKWAY AVE, EAGLE LAKE, MN 56024-7709
(507) 257-2252
Mailing address
PO BOX 375, PO BOX 375, EAGLE LAKE, MN 56024-0375
(507) 257-2252
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
346457
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A632620100
—
MN
05
—
A864907100
—
MN
Enumeration date
10/12/2009
Last updated
07/31/2014
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