Organization
ECUMEN
Active
Other names
Emmanuel Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS JOHNSON (VICE PRESIDENT)
(651) 766-4300
Entity
Organization
Contact information
Practice address
1415 MADISON AVE, DETROIT LAKES, MN 56501-4542
(218) 847-4486
(218) 847-4488
Mailing address
3530 LEXINGTON AVE N, SHOREVIEW, MN 55126-8166
(651) 766-4300
(651) 766-4479
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
357295
MN
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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