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NPI Code Detail

MEDICARE: POLAR HEALTH SERVICES

MEDICARE: POLAR HEALTH SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2251G00000XCommunity Based Hospice Care Agency
3251J00000XNursing Care Agency
4253Z00000XIn Home Supportive Care Agency
5251E00000XHome Health Agency

General Provider Information

NPI Number : 1508268475
Entity Type Code : Organization
Provider Name (Legal Business Name) : POLAR HEALTH SERVICES
Provider Business Mailing Address
First Line : 8561 EDINBURGH CENTER DR
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443-3724
Country : US
Telephone Number : 763-777-5995
Fax Number : 763-777-5974
Provider Business Practice Location Address
First Line : 8561 EDINBURGH CENTER DR
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55443-3724
Country : US
Telephone Number : 763-777-5995
Fax Number : 763-777-5974
Authorized Official
Title or Position : OWNER
Name : LOLA ISHOLA
Credential :
Telephone Number : 763-777-5995
Provider Enumeration Date : 09/22/2014
Last Update Date : 09/22/2014

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Directions to “POLAR HEALTH SERVICES ” Practice Location

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