Organization
ADVANCED HOME CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAI LEE YANG (MANAGER/OWNER)
(651) 489-9246
Entity
Organization
Contact information
Practice address
1088 RICE ST, SUITE B, SAINT PAUL, MN 55117-2906
(651) 489-9246
(651) 488-7364
Mailing address
1088 RICE ST, SUITE B, SAINT PAUL, MN 55117-2906
(651) 489-9246
(651) 488-7364
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A104473000
UMPI
MN
01
—
A153907000
UMPI
MN
Enumeration date
03/11/2016
Last updated
03/11/2016
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