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Organization

LJ HOME HEALTH SERVICE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LUCY MAE YOUNG LPN (CEO/OWNER)
(651) 261-4599
Entity
Organization

Contact information

Practice address
1990 SUBURBAN AVE, SUITE 2008, SAINT PAUL, MN 55119-7001
(651) 261-4599
Mailing address
6987 COLLINGWOOD LN, #6, WOODBURY, MN 55125-2119
(651) 261-4599

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
247276
MN

Other

Enumeration date
10/07/2011
Last updated
10/07/2011
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