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Organization

DIGNITY HEALTHCARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FLORENCE ANDIN BASSA (PRESIDENT)
(651) 283-9043
Entity
Organization

Contact information

Practice address
5676 154TH AVE NW, RAMSEY, MN 55303-4281
(651) 283-9043
(763) 400-3731
Mailing address
5676 154TH AVE NW, RAMSEY, MN 55303-4281
(651) 283-9043
(763) 400-3731

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1755927
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0
MN
Enumeration date
11/23/2013
Last updated
11/23/2013
About Stedi
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  • EDI platform