Organization
MVNA
Active
Other names
Minnesota Visiting Nurse Agency
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANETTE A. VAN LIEW (CEO)
(612) 617-4671
Entity
Organization
Contact information
Practice address
2000 SUMMER STREET NE, SUITE 100, MINNEAPOLIS, MN 55413
(612) 617-4600
(612) 617-4782
Mailing address
2000 SUMMER STREET NE, SUITE 100, MINNEAPOLIS, MN 55413
(612) 617-4600
(612) 617-4782
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
324640
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
569253900
—
MN
Enumeration date
10/18/2005
Last updated
02/12/2015
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