Organization
ACCESSIBLE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARISA ANNE RASMUSSEN (CHIEF MANAGER)
(612) 978-1054
Entity
Organization
Contact information
Practice address
1104 5TH AVE S, SOUTH ST PAUL, MN 55075-3227
(651) 450-5629
(651) 554-3085
Mailing address
1104 5TH AVE S, SOUTH ST PAUL, MN 55075-3227
(651) 450-5629
(651) 554-3085
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNPI
MEDICAL ASSISTANCE
MN
Enumeration date
03/13/2009
Last updated
03/13/2009
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