Organization
HEALTHY SOLES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI JAYNE STAMM RN (PRESIDENT)
(952) 994-4438
Entity
Organization
Contact information
Practice address
17029 CLEAR SPRING TER, MINNETONKA, MN 55345-4318
(952) 994-4438
Mailing address
17029 CLEAR SPRING TER, MINNETONKA, MN 55345-4318
(952) 994-4438
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
24407
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24407
CLASS A HOME CARE LICENSU
MN
Enumeration date
11/06/2006
Last updated
08/22/2020
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