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Organization

ON TIME HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KRISTI MOORE (ADMINISTRATOR)
(763) 377-2441
Entity
Organization

Contact information

Practice address
7936 LAD PKWY, BROOKLYN PARK, MN 55443-2860
(763) 377-2441
Mailing address
7936 LAD PKWY, BROOKLYN PARK, MN 55443-2860
(763) 377-2441

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
352742
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
A143132000
MN
Enumeration date
08/05/2011
Last updated
08/05/2011
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