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Organization

MANKATO HOME HEALTH CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HASSAN ADAN IBAR (OWNER)
(320) 774-3622
Entity
Organization

Contact information

Practice address
3400 1ST ST N STE 402, SAINT CLOUD, MN 56303-1928
(773) 664-2385
(320) 774-1251
Mailing address
3400 1ST ST N STE 402, SAINT CLOUD, MN 56303-1928
(773) 664-2385
(320) 774-1251

Taxonomy

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

Other

Enumeration date
05/21/2013
Last updated
08/15/2019
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