Organization
ANGELS OF INDEPENDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY KAY GOETTI CNA, HHA (PRESIDENT C.E.O.)
(507) 213-1486
Entity
Organization
Contact information
Practice address
26992 LAKE JEFFERSON ROAD, CLEVELAND, MN 56017-4440
(507) 213-1486
(507) 550-4108
Mailing address
26992 LAKE JEFFERSON RD., CLEVELAND, MN 56017-4448
(507) 550-4108
(507) 550-4108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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