Organization
HEARTFELT HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHINSAYKEO SOURIYATHAY (PRINCIPLE)
(612) 787-5265
Entity
Organization
Contact information
Practice address
4110 103RD AVE N, BROOKLYN PARK, MN 55443-2095
(612) 787-5265
Mailing address
4110 103RD AVE N, BROOKLYN PARK, MN 55443-2095
(612) 787-5265
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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