Organization
SOUTHERN MINNESOTA HOME CARE
Active
Organization
SOUTHERN MINNESOTA HOME CARE
Active
Parent organization
SOUTHERN MINNESOTA HOME CARE LLC
Other names
SOUTHERN MINNESOTA HOME CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN MINNESOTA HOME CARE LLC
Authorized official
MISS BARBARA J SONTAG (ADMIN OWNER)
(507) 257-2252
Entity
Organization
Contact information
Practice address
213 PARKWAY AVE, EAGLE LAKE, MN 56024-7709
(507) 257-2252
Mailing address
213 PARKWAY AVE, PO BOX 375, EAGLE LAKE, MN 56024-7709
(507) 257-2252
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
346457
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295060077
—
MN
05
—
A632620100
—
MN
05
—
A864907100
—
MN
Enumeration date
06/10/2014
Last updated
07/31/2014
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