Organization
MILLENNIUM HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA SELYUKOV (PRESIDENT/OWNER)
(612) 865-9080
Entity
Organization
Contact information
Practice address
12630 15TH AVE N, PLYMOUTH, MN 55441-4627
(612) 865-9080
Mailing address
12630 15TH AVE N, PLYMOUTH, MN 55441-4627
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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