Organization
INTEGRA HOME CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DIMITRIY PAPKOV RN (PRESIDENT)
(952) 985-0672
Entity
Organization
Contact information
Practice address
17645 JUNIPER PATH STE 115, LAKEVILLE, MN 55044-7490
(952) 985-0672
(952) 985-0675
Mailing address
17645 JUNIPER PATH STE 115, LAKEVILLE, MN 55044-7490
(952) 985-0672
(952) 985-0675
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
338318
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
338318
CLASS A LICENCE
MN
Enumeration date
01/19/2008
Last updated
06/12/2024
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