Organization
EXCEPTIONAL HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA SELENE WATSON (PRESIDENT)
(612) 521-1854
Entity
Organization
Contact information
Practice address
3107 PENN AVE N, MINNEAPOLIS, MN 55411-1123
(612) 521-1854
(612) 521-1926
Mailing address
3107 PENN AVE N, MINNEAPOLIS, MN 55411-1123
(612) 521-1854
(612) 521-1926
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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