Organization
PIEDMONT SUPPORTIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFA MADAR (OWNER)
(952) 406-0767
Entity
Organization
Contact information
Practice address
15831 GRIFFON PATH, APPLE VALLEY, MN 55124-6661
(952) 406-0767
Mailing address
15831 GRIFFON PATH, APPLE VALLEY, MN 55124-6661
(952) 406-0767
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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