Organization
MINNESOTAWEST HOME HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNEDY MOGERE (PRESIDENT)
(763) 458-9072
Entity
Organization
Contact information
Practice address
3403 KILMER LN N, PLYMOUTH, MN 55441-2415
(763) 432-9172
(763) 276-9930
Mailing address
3403 KILMER LN N, PLYMOUTH, MN 55441-2415
(763) 432-9172
(763) 276-9930
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
380470
MN
Other
Enumeration date
01/22/2016
Last updated
03/23/2017
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