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Organization

SHEBAH HOME HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TSHILANDA MUTAMBA BSN, RN (DIRECTOR)
(651) 354-1230
Entity
Organization

Contact information

Practice address
3224 139TH AVE NW, ANDOVER, MN 55304-7539
(651) 354-1230
Mailing address
PO BOX 98, ANDOVER, MN 55304-0010
(651) 354-1230

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
251E00000X
Home Health Agency
251J00000X
Nursing Care Agency

Other

Enumeration date
09/07/2023
Last updated
09/07/2023
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