Organization
MINNESOTA VISITING NURSE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYANN BLADE (CEO)
(612) 617-4600
Entity
Organization
Contact information
Practice address
3433 BROADWAY ST NE, SUITE 300, MINNEAPOLIS, MN 55413-1740
(612) 617-4600
Mailing address
3433 BROADWAY ST NE, SUITE 300, MINNEAPOLIS, MN 55413-1740
(612) 617-4600
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700875101
MVNA HAS ANOTHER NPI NUMBER
—
Enumeration date
01/06/2010
Last updated
12/27/2010
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