Organization
EDELWEISS HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EDELGARD AUSTIN RN (OWNER)
(763) 315-1050
Entity
Organization
Contact information
Practice address
7014 E FISH LAKE RD, MAPLE GROVE, MN 55311-2832
(763) 315-1050
Mailing address
7014 E FISH LAKE RD, MAPLE GROVE, MN 55311-2832
(763) 315-1050
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
331449
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
331449
HOME CARE LICENSE
MN
Enumeration date
08/05/2006
Last updated
08/22/2020
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