Organization
DMT HOME HEALTH SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOHNA RENEE NELSON (PRESIDENT)
(763) 856-3051
Entity
Organization
Contact information
Practice address
4039 140TH AVE, CLEAR LAKE, MN 55319-9545
(763) 856-3051
(763) 856-3051
Mailing address
4039 140TH AVE, CLEAR LAKE, MN 55319-9545
(763) 856-3051
(763) 856-3051
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
332192
MN
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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