Organization
SIMAC PROFESSIONAL BUSINESS SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE MACDOLD ACOLATSE (ADMINSTRATOR)
(763) 432-3328
Entity
Organization
Contact information
Practice address
6000 BASS LAKE RD, SUITE # 213, CRYSTAL, MN 55429-2700
(763) 432-3328
Mailing address
6000 BASS LAKE RD, SUITE #213, CRYSTAL, MN 55429-2700
(763) 432-3328
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
342169
MN
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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