Organization
WILDROSE HOME HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HAGEN (CEO)
(507) 625-8938
Entity
Organization
Contact information
Practice address
1021 N RIVERFRONT DR, MANKATO, MN 56001-3341
(507) 625-8938
(507) 625-9038
Mailing address
18396 568TH AVE, MANKATO, MN 56001-6649
(507) 625-8938
(507) 625-9038
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
NA
MN
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003610200
—
MN
Enumeration date
08/27/2007
Last updated
10/08/2010
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