Organization
AVALON HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEIDI M SCHROEDER RN (QP)
(763) 753-4314
Entity
Organization
Contact information
Practice address
500 W MAIN ST STE 11, ANOKA, MN 55303-2000
(763) 753-4314
Mailing address
500 W MAIN ST STE 11, ANOKA, MN 55303-2000
(763) 753-4314
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
A003607200
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275841181
—
MN
Enumeration date
08/18/2015
Last updated
08/18/2015
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