Organization
A2C HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BANNISTER L MWAANGA (OWNER)
(810) 498-8004
Entity
Organization
Contact information
Practice address
19182 HOOVER ST NW, ELK RIVER, MN 55330-8646
(810) 498-8004
Mailing address
19182 HOOVER ST NW, ELK RIVER, MN 55330-8646
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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