Organization
NOKOMIS, LLC
Active
Other names
Nokomis Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS THIELING (OWNER)
(218) 308-6096
Entity
Organization
Contact information
Practice address
113 SPRUCE AVE NE, CASS LAKE, MN 56633
(218) 308-6096
Mailing address
PO BOX 154, CASS LAKE, MN 56633-0154
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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