Organization
COMPLETE HOME HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADE F. NOMO (ADMINISTRATOR)
(612) 788-2273
Entity
Organization
Contact information
Practice address
4001 STINSON BLVD NE, SUITE 223, ST ANTHONY VILLAGE, MN 55421-3497
(612) 788-2273
Mailing address
3616 ROOSEVELT ST NE, ST ANTHONY VILLAGE, MN 55418-1559
(612) 788-2273
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
8595915
MN
Other
Enumeration date
05/24/2007
Last updated
08/30/2016
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