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Organization

TLC NURSING SERVICES OF ROSEVILLE INC

Active
Other names
TLC Home Care of the Twin Cities
Organization subpart
No

Provider details

NPI number
Authorized official
SOLOMON NMN MULUGETA (CEO)
(818) 823-1000
Entity
Organization

Contact information

Practice address
1919 UNIVERSITY AVE W STE 130, SAINT PAUL, MN 55104-3492
(651) 647-0017
(651) 647-3423
Mailing address
1919 UNIVERSITY AVE W STE 130, SAINT PAUL, MN 55104-3492
(651) 647-0017
(651) 647-3423

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
040518300
MN
Enumeration date
12/30/2005
Last updated
09/17/2015
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