Organization
LIFE'S COMPANION P.C.A., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRISHA T ROHDE (ADMINISTRATOR)
(763) 786-3439
Entity
Organization
Contact information
Practice address
10307 UNIVERSITY AVE NE, BLAINE, MN 55434-8026
(763) 786-3439
(763) 783-3528
Mailing address
10307 UNIVERSITY AVE NE, BLAINE, MN 55434-8026
(763) 786-3439
(763) 783-3528
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A696845700
—
MN
Enumeration date
10/13/2011
Last updated
10/13/2011
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