Organization
HEALTHY COMMUNITY SERVICES AGENCY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS AI VANG RN (OWNER)
(651) 247-6517
Entity
Organization
Contact information
Practice address
1096 RICE ST., ST. PAUL, MN 55117
(651) 247-6517
(651) 487-3130
Mailing address
1096 RICE ST, SAINT PAUL, MN 55117-4922
(651) 247-6517
(651) 487-7545
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
353118
MN
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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