Organization
LADY TEES HOME CARE SVCS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TENNEH LEBBI JOHNSON LPN (CEO)
(763) 438-0009
Entity
Organization
Contact information
Practice address
4727 WINGARD LANE, BROOKLYN CENTER, MN 55429-1230
(763) 438-0009
(763) 515-0431
Mailing address
4727 WINGARD LANE, BROOKLYN CENTER, MN 55429-1230
(763) 438-0009
(763) 515-0431
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
338321
MN
Other
Enumeration date
04/04/2008
Last updated
04/04/2008
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