Organization
ATTENTIVE HOME HEALTHCARE MINNESOTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZA PORTE DAVIES RN (PRESIDENT/DIRECTOR OF NURSING)
(763) 354-4434
Entity
Organization
Contact information
Practice address
15430 18TH AVE N, STE-1312, PLYMOUTH, MN 55447-2432
(763) 354-4434
Mailing address
15430 18TH AVE N, STE-1312, PLYMOUTH, MN 55447-2432
(763) 354-4434
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
344134
MN
253Z00000X
In Home Supportive Care Agency
344134
MN
Other
Enumeration date
05/31/2009
Last updated
09/15/2009
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