Organization
FAMILY TO FAMILY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYRUS LEMAR LEMAR (OWNER)
(612) 708-8085
Entity
Organization
Contact information
Practice address
3030 29TH AVE S APT 9, MINNEAPOLIS, MN 55406-1955
(612) 708-8085
Mailing address
3030 29TH AVE S APT 9, MINNEAPOLIS, MN 55406-1955
(612) 708-8085
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
336734
MN
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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