Organization
MARY T HOME HEALTH INC
Active
Organization
MARY T HOME HEALTH INC
Active
Parent organization
MARY T ASSOCIATES INC
Other names
Mary T Home Health - Hospice
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARY T ASSOCIATES INC
Authorized official
JASON TJOSVOLD (CAO)
(763) 567-8951
Entity
Organization
Contact information
Practice address
299 COON RAPIDS BLVD NW STE 204, COON RAPIDS, MN 55433-5870
(763) 772-9963
(763) 772-9962
Mailing address
299 COON RAPIDS BLVD NW STE 204, COON RAPIDS, MN 55433-5870
(763) 772-9963
(763) 772-9962
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
379633
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
379633
STATE LICENSE
MN
Enumeration date
01/14/2009
Last updated
06/24/2022
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