Organization
IMED HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVANS MOGAKA (ADMINISTRATOR)
(612) 730-4235
Entity
Organization
Contact information
Practice address
4309 W OLD SHAKOPEE RD, BLOOMINGTON, MN 55437-2952
(612) 730-4235
Mailing address
4309 W OLD SHAKOPEE RD, BLOOMINGTON, MN 55437-2952
(612) 730-4235
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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