Organization
REST EASY AT HOME HEALTH CARE AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA FULTON HOCKENBERGER (OWNER)
(651) 342-2478
Entity
Organization
Contact information
Practice address
1825 CURVE CREST BLVD W STE 200, STILLWATER, MN 55082-4086
(651) 342-2478
(651) 342-0282
Mailing address
1825 CURVE CREST BLVD., SUITE 200, STILLWATER, MN 55082
(651) 342-2478
(651) 342-0282
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
30914
MN
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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