Organization
HOME HEALTH CARE SERVICES LLC
Active
Other names
Health at Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICK W GRIFFIN (PRESIDENT)
(706) 855-5533
Entity
Organization
Contact information
Practice address
14585 59TH AVE N., STE H224, PLYMOUTH, MN 55446-3872
(763) 744-9499
(763) 744-9439
Mailing address
PO BOX 200, AUGUSTA, GA 30903-0200
(706) 855-5533
(706) 854-7382
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
371968
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
371968
LICENSE
MN
Enumeration date
07/16/2015
Last updated
07/16/2015
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