MEDICARE: JULIA DAY, LLC

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
1	251E00000X	Home Health Agency	361374	MN

General Provider Information

NPI Number	:	1538408349
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JULIA DAY, LLC

Provider Business Mailing Address
First Line	:	2104 CEDAR GROVE TRL
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55122-1543
Country	:	US
Telephone Number	:	651-686-4030
Fax Number	:	651-686-4031

Provider Business Practice Location Address
First Line	:	2104 CEDAR GROVE TRL
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55122-1543
Country	:	US
Telephone Number	:	651-686-4030
Fax Number	:	651-686-4031

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MR. DENNIS LYNN CARSTENS
Credential	:
Telephone Number	:	651-686-4030

Provider Enumeration Date	:	02/14/2013
Last Update Date	:	02/14/2013

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