Organization
REGENESIS HEALTH SERVICE INC.
Active
Other names
St. John's Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MARK BLOSSER BSW (PRESIDENT / GENERAL MANAGER)
(903) 357-3391
Entity
Organization
Contact information
Practice address
582 CHERRY DR, WACONIA, MN 55387-4578
(888) 431-9444
(888) 430-8776
Mailing address
582 CHERRY DR, WACONIA, MN 55387-4578
(888) 431-9444
(888) 430-8776
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1789
FL
Other
Enumeration date
06/12/2006
Last updated
08/23/2016
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