Organization
PHOENIX HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANDIN DAVIS (OWNER)
(612) 501-0527
Entity
Organization
Contact information
Practice address
4806 EMERSON AVE N, MINNEAPOLIS, MN 55430-3514
(612) 501-0527
Mailing address
4806 EMERSON AVE N, MINNEAPOLIS, MN 55430-3514
(612) 501-0527
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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