Organization
YMG HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YAKOV GITERMAN (PRESIDENT)
(952) 412-3545
Entity
Organization
Contact information
Practice address
5811 CEDAR LAKE RD S, UNITE G, ST LOUIS PARK, MN 55416-1458
(952) 412-3545
Mailing address
5811 CEDAR LAKE RD S, UNITE G, ST LOUIS PARK, MN 55416-1458
(952) 412-3545
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A394906100
—
MN
Enumeration date
06/28/2011
Last updated
08/19/2015
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