Organization
UNIVERSAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELLEN B SUTTON (DIRECTOR /REGISTERED NURSE.)
(763) 843-1255
Entity
Organization
Contact information
Practice address
1359 KNOLL DR, SHAKOPEE, MN 55379-4624
(763) 843-1255
(651) 571-0018
Mailing address
1359 KNOLL DR, SHAKOPEE, MN 55379-4624
(763) 843-1255
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
04/29/2019
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