Organization
BUENA VISTA HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA OFFELIA GOMEZ RN (CEO)
(651) 235-9263
Entity
Organization
Contact information
Practice address
4000 ELMWOOD ST, VADNAIS HEIGHTS, MN 55127
(651) 235-9263
(651) 426-8117
Mailing address
4000 ELMWOOD ST, VADNAIS HEIGHTS, MN 55127
(651) 235-9263
(651) 426-8117
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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