Organization
S&GS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA AISAWA (OWNER)
(763) 229-6157
Entity
Organization
Contact information
Practice address
1720 148TH LN NW, ANDOVER, MN 55304-8487
(763) 229-6157
Mailing address
1720 148TH LN NW, ANDOVER, MN 55304-8487
(763) 229-6157
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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