Organization
SPECIALIZED HOME HEALTH CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY JJ PHOUISANGIEM (DIRECTOR)
(952) 221-0083
Entity
Organization
Contact information
Practice address
15978 HYLAND POINTE CT, APPLE VALLEY, MN 55124-7063
(952) 221-0083
(952) 953-4528
Mailing address
15978 HYLAND PT. CT., APPLE VALLEY, MN 55124
(952) 221-0083
(952) 953-4528
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/29/2006
Last updated
08/22/2020
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