Organization
NEW HOME HOMECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP AZENABOR (ADMINISTRATOR)
(651) 353-6440
Entity
Organization
Contact information
Practice address
215 KIPLING ST APT 435, SAINT PAUL, MN 55119-5042
(651) 353-6440
Mailing address
215 KIPLING ST APT 435, SAINT PAUL, MN 55119-5042
(651) 353-6440
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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