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Organization

RIVERSIDE PROFESSIONAL HEALTH SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARCOS A BEKUTO (OWNER/DIRECTOR)
(612) 964-1735
Entity
Organization

Contact information

Practice address
1929 S 5TH ST STE 200, MINNEAPOLIS, MN 55454-1274
(612) 964-1735
(612) 359-9918
Mailing address
1929 S 5TH ST STE 200, MINNEAPOLIS, MN 55454-1274
(612) 964-1735
(612) 359-9918

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1592978
MN

Other

Enumeration date
07/01/2010
Last updated
07/01/2010
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