Organization
LUXISUITES LLC
Active
Other names
na
Organization subpart
No
Provider details
NPI number
Authorized official
SIMON PAYE RN (STAFF)
(612) 423-8625
Entity
Organization
Contact information
Practice address
10332 HOLLYWOOD BLVD NW, COON RAPIDS, MN 55433-4515
(612) 423-8624
Mailing address
PO BOX 290187, BROOKLYN CENTER, MN 55429-6187
(612) 423-8624
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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