Organization
NEEMU HOMEHEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIONEL CORNORMIA (OWNER)
(952) 564-7007
Entity
Organization
Contact information
Practice address
1710 DOUGLAS DR N, GOLDEN VALLEY, MN 55422
(763) 656-0748
Mailing address
1710 DOUGLAS DR N, GOLDEN VALLEY, MN 55422-4327
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
546838
CADI WAIVER,
MN
Enumeration date
02/11/2019
Last updated
04/02/2019
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