Organization
MIDWAY HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYING LOR VANG (PRESIDENT)
(651) 793-6901
Entity
Organization
Contact information
Practice address
1459 RICE ST STE 2, SAINT PAUL, MN 55117-3864
(651) 793-6901
(651) 776-5251
Mailing address
1459 RICE ST STE 2, SAINT PAUL, MN 55117-3864
(651) 793-6901
(651) 776-5251
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1085005-2-HCBS
—
MN
01
—
170038
UCARE
MN
05
—
1750461042
—
MN
01
—
49-80531
MEDICA
MN
01
—
635-T4MI
BLUE CROSS BLUE SHIELD
MN
01
—
81215
HEALTHPARTNERS
MN
01
—
R-125199-7
MHP
MN
Enumeration date
05/16/2019
Last updated
05/16/2019
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