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Individual

TINA KALIS

Active
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Individual

TINA KALIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1083230-1-HCBS
MN
253J00000X
Foster Care Agency
310400000X
Assisted Living Facility
1083230-1-HCBS
MN
372500000X
Chore Provider
372600000X
Adult Companion
374U00000X
Home Health Aide
376J00000X
Homemaker
376K00000X
Nurse's Aide
385H00000X
Respite Care
1083230-1-HCBS
MN

Other

Enumeration date
10/20/2016
Last updated
12/12/2016
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