Organization
PRAIRIE RIVER HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMERA MARIE PIERCE RN (RN CASE MANAGER)
(612) 508-8449
Entity
Organization
Contact information
Practice address
25 1ST AVE NE, BUFFALO, MN 55313-1568
(763) 868-2300
Mailing address
25 1ST AVE NE, BUFFALO, MN 55313-1568
(763) 868-2300
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R-203669-0
MN
Other
Enumeration date
07/15/2013
Last updated
07/15/2013
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