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Organization

DISTINCTIVE HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELLE CLERMONT KANNEH (EXECUTIVE DIRECTOR)
(612) 709-3880
Entity
Organization

Contact information

Practice address
7473 160TH AVE NW, RAMSEY, MN 55303-6623
(612) 709-3880
Mailing address
7473 160TH AVE NW, RAMSEY, MN 55303-6623
(612) 709-3880

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
10/02/2023
Last updated
10/02/2023
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