Organization
REDEMPTION PCA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMON DAWON BAHTUOH (CEO)
(763) 406-0577
Entity
Organization
Contact information
Practice address
6000 BASS LAKE RD STE 120, CRYSTAL, MN 55429-2768
(763) 406-0577
Mailing address
6000 BASS LAKE RD STE 120, CRYSTAL, MN 55429-2768
(763) 406-0577
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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