Organization
HENONNATIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATIYONNA ROBINSON (CEO/OWNER)
(612) 987-1903
Entity
Organization
Contact information
Practice address
1006 W LAKE ST APT 422, MINNEAPOLIS, MN 55408-4826
(612) 987-1903
Mailing address
1006 W LAKE ST APT 422, MINNEAPOLIS, MN 55408-4826
(612) 987-1903
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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