Organization
AGEWELL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WEBER (CHIEF OPERATIONS OFFICER)
(952) 345-8770
Entity
Organization
Contact information
Practice address
4940 VIKING DR STE 545, EDINA, MN 55435-5327
(952) 345-8770
(952) 345-1101
Mailing address
4940 VIKING DR STE 545, EDINA, MN 55435-5327
(952) 345-8770
(952) 345-1101
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
346396
MN
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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