Organization
MIRIAM HOME HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE ISATU MANSARAY REGISTERED NURSE (PRESIDENT)
(763) 458-4750
Entity
Organization
Contact information
Practice address
7030 HUMBOLDT AVENUE NORTH, BROOKLYN CENTER, MN 55430
(763) 458-4750
(763) 561-0738
Mailing address
7030 HUMBOLDT AVE N, BROOKLYN CENTER, MN 55430-1153
(763) 458-4750
(763) 561-0738
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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