Organization
AHIMSA ROSE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLA FLOM LPN (VICE PRESIDENT)
(218) 686-1673
Entity
Organization
Contact information
Practice address
2605 11TH ST N, SAINT CLOUD, MN 56303-2415
(218) 686-1673
Mailing address
2605 11TH ST N, SAINT CLOUD, MN 56303-2415
(218) 686-1673
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1080510-1-HCBS
MN
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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