Organization
ALPINE HOME HEATLH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD WACKERFUSS (OWNER)
(651) 444-5999
Entity
Organization
Contact information
Practice address
1543 COMO AVE, SAINT PAUL, MN 55108-2561
(651) 444-5999
(651) 444-5279
Mailing address
1543 COMO AVE, SAINT PAUL, MN 55108-2561
(651) 444-5999
(651) 444-5279
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A235100100
—
MN
Enumeration date
04/14/2022
Last updated
04/14/2022
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