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Organization

ACUTE HOME HEALTH CARE OF MN

Active
Other names
TRANQUIL LIVING
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIMLOAN SLOSS RN, PHN (DIRECTOR OF NURSING)
(952) 361-0080
Entity
Organization

Contact information

Practice address
6385 OLD SHADY OAK RD STE 250, EDEN PRAIRIE, MN 55344-7705
(952) 361-0080
Mailing address
6385 OLD SHADY OAK RD, STE 250, EDEN PRAIRIE, MN 55344-3299
(952) 361-0080
(952) 448-1996

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
311ZA0620X
Adult Care Home Facility
Primary
1039688-2-AFC
MN
311ZA0620X
Adult Care Home Facility
1039690-2-AFC
MN
311ZA0620X
Adult Care Home Facility
34050
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
242275100
MN-CODE 18 FOR HOME AND COMMUNITY BASED SERVICES
MN
01
34050
MN- CODE 18 FOR HOME AND COMMUNITY BASED SERVICES
MN
01
387817
COMPREHENSIVE HOME CARE
MN
Enumeration date
04/09/2007
Last updated
11/11/2018
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