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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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